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 $24.55 Median $83.18 Typical High $83.18 | Facility | None | $24.55 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $57.54 Typical High $83.18 | Professional | None | $24.55 | $57.54 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $186.21 Median $549.54 Typical High $1,174.90 | Facility | None | $186.21 | $549.54 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $25.70 Median $81.28 Typical High $181.97 | Professional | None | $25.70 | $81.28 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $741.31 | Facility | None | $173.78 | $251.19 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $93.33 Typical High $234.42 | Professional | None | $39.81 | $93.33 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $575.44 | Facility | None | $147.91 | $245.47 | $575.44 |
Health Partners Setting Professional Modifier None Typical Low $39.81 Median $102.33 Typical High $218.78 | Professional | None | $39.81 | $102.33 | $218.78 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $89.13 Typical High $169.82 | Facility | None | $34.67 | $89.13 | $169.82 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $436.52 | Professional | None | $77.62 | $199.53 | $436.52 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None Typical Low $28.18 Median $75.86 Typical High $213.80 | Professional | None | $28.18 | $75.86 | $213.80 |
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 $12.30 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $12.30 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $4.90 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $28.84 Typical High $41.69 | Professional | 52 · Reduced service | $12.30 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $11.48 Typical High $16.60 | Professional | 53 · Discontinued | $4.90 | $11.48 | $16.60 |
Where Minnesota sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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
$83.18
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.