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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | None | $79.43 | $79.43 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $123.03 Median $257.04 Typical High $977.24 | Facility | None | $123.03 | $257.04 | $977.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $218.78 | Professional | None | $104.71 | $151.36 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $707.95 | Facility | None | $165.96 | $251.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $234.42 | Professional | None | $128.82 | $213.80 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $562.34 | Facility | None | $151.36 | $239.88 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $229.09 | Professional | None | $109.65 | $208.93 | $229.09 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $229.09 | Facility | None | $100.00 | $138.04 | $229.09 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $1,548.82 | Professional | None | $102.33 | $218.78 | $1,548.82 |
United Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $295.12 | Professional | None | $97.72 | $181.97 | $295.12 |
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 $39.81 Median $39.81 Typical High $39.81 | Facility | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Where Minnesota sits
The same service costs 2.8 times more in Minnesota 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· 1st of 51
$174
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.