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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $44.67 | Professional | None | $25.12 | $25.12 | $44.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $37.15 Median $83.18 Typical High $354.81 | Facility | None | $37.15 | $83.18 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $70.79 | Professional | None | $33.11 | $50.12 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $223.87 | Facility | None | $52.48 | $79.43 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $74.13 | Professional | None | $38.90 | $66.07 | $74.13 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $177.83 | Facility | None | $46.77 | $75.86 | $177.83 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $72.44 | Professional | None | $34.67 | $66.07 | $72.44 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $39.81 Typical High $52.48 | Facility | None | $31.62 | $39.81 | $52.48 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $151.36 | Professional | None | $28.84 | $60.26 | $151.36 |
United Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $85.11 | Professional | None | $28.18 | $51.29 | $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 $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$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.