How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $34.67 Median $144.54 Typical High $144.54 | Facility | None | $34.67 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $144.54 | Professional | None | $31.62 | $57.54 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $1,288.25 Typical High $2,884.03 | Facility | None | $707.95 | $1,288.25 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $117.49 Typical High $354.81 | Professional | None | $43.65 | $117.49 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $1,288.25 | Facility | None | $281.84 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $100.00 Typical High $416.87 | Professional | None | $38.90 | $100.00 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $1,023.29 | Facility | None | $257.04 | $426.58 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $134.90 Typical High $426.58 | Professional | None | $58.88 | $134.90 | $426.58 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $117.49 Typical High $295.12 | Facility | None | $44.67 | $117.49 | $295.12 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $707.95 | Professional | None | $79.43 | $501.19 | $707.95 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,348.96 | Facility | None | $933.25 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $204.17 | Professional | None | $34.67 | $79.43 | $204.17 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $17.38 Median $72.44 Typical High $72.44 | Facility | 52 · Reduced service | $17.38 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $6.92 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $28.84 Typical High $72.44 | Professional | 52 · Reduced service | $15.85 | $28.84 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $11.48 Typical High $28.84 | Professional | 53 · Discontinued | $6.31 | $11.48 | $28.84 |
Where Minnesota sits
The same service costs 4.2 times more in Washington than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 5th of 51
$115
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.