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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $46.77 | Professional | None | $34.67 | $39.81 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $2,754.23 | Facility | None | $63.10 | $131.83 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $51.29 | Professional | 52 · Reduced service + 53 · Discontinued | $22.39 | $32.36 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $363.08 | Facility | None | $83.18 | $125.89 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $141.25 | Professional | None | $38.90 | $79.43 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $281.84 | Facility | None | $75.86 | $120.23 | $281.84 |
Health Partners Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $138.04 | Professional | None | $60.26 | $91.20 | $138.04 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $83.18 | Facility | None | $38.90 | $61.66 | $83.18 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $229.09 | Professional | None | $41.69 | $104.71 | $229.09 |
United Setting Facility Modifier None Typical Low $30.20 Median $33.11 Typical High $33.11 | Facility | None | $30.20 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $125.89 | Professional | None | $38.02 | $67.61 | $125.89 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $19.95 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $7.94 | $9.33 |
Where Minnesota sits
The same service costs 2.7 times more in Alaska than in New York. 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· 7th of 51
$69.18
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.