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 $602.56 Typical High $1,905.46 | Facility | None | $79.43 | $602.56 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $281.84 Typical High $281.84 | Professional | None | $58.88 | $281.84 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $575.44 | Facility | None | $173.78 | $275.42 | $575.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $758.58 | Professional | None | $371.54 | $549.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $2,511.89 | Facility | None | $588.84 | $891.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $831.76 | Professional | None | $446.68 | $741.31 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,949.84 | Facility | None | $524.81 | $831.76 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $794.33 | Professional | None | $380.19 | $724.44 | $794.33 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $446.68 Typical High $575.44 | Facility | None | $56.23 | $446.68 | $575.44 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $95.50 Typical High $1,258.93 | Professional | None | $44.67 | $95.50 | $1,258.93 |
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 $44.67 Median $83.18 Typical High $154.88 | Professional | None | $44.67 | $83.18 | $154.88 |
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 $138.04 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Minnesota sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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
$537
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.