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 $239.88 Median $457.09 Typical High $630.96 | Facility | None | $239.88 | $457.09 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $165.96 | Professional | None | $91.20 | $102.33 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $501.19 | Facility | None | $151.36 | $177.83 | $501.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $275.42 | Professional | None | $134.90 | $194.98 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $933.25 | Facility | None | $213.80 | $323.59 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $363.08 | Professional | None | $100.00 | $208.93 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $724.44 | Facility | None | $194.98 | $309.03 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $354.81 | Professional | None | $154.88 | $234.42 | $354.81 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $363.08 Typical High $524.81 | Facility | None | $169.82 | $363.08 | $524.81 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $257.04 Typical High $741.31 | Professional | None | $95.50 | $257.04 | $741.31 |
United Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $100.00 | Facility | None | $91.20 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $302.00 | Professional | None | $95.50 | $162.18 | $302.00 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $20.42 | $25.70 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 2nd of 51
$229
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.