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 $83.18 Median $316.23 Typical High $537.03 | Facility | None | $83.18 | $316.23 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $77.62 | Professional | None | $21.38 | $34.67 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $588.84 | Facility | None | $169.82 | $288.40 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $48.98 | Professional | None | $27.54 | $39.81 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $181.97 | Facility | None | $42.66 | $64.57 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $53.70 Typical High $60.26 | Professional | None | $32.36 | $53.70 | $60.26 |
Health Partners Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $141.25 | Facility | None | $38.02 | $60.26 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $57.54 | Professional | None | $28.18 | $53.70 | $57.54 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $426.58 | Facility | None | $67.61 | $251.19 | $426.58 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $63.10 Typical High $309.03 | Professional | None | $28.84 | $63.10 | $309.03 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $85.11 | Professional | None | $26.92 | $53.70 | $85.11 |
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 $10.23 Median $10.23 Typical High $10.23 | Facility | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Where Minnesota sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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
$53.70
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.