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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | None | $190.55 | $190.55 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $295.12 Median $489.78 Typical High $1,202.26 | Facility | None | $295.12 | $489.78 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $524.81 | Professional | None | $251.19 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $1,737.80 | Facility | None | $398.11 | $602.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $575.44 | Professional | None | $309.03 | $512.86 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $1,348.96 | Facility | None | $363.08 | $575.44 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $549.54 | Professional | None | $263.03 | $501.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $446.68 | Facility | None | $239.88 | $338.84 | $446.68 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $478.63 Typical High $1,737.80 | Professional | None | $229.09 | $478.63 | $1,737.80 |
United Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $676.08 | Professional | None | $223.87 | $416.87 | $676.08 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Where Minnesota sits
The same service costs 2.5 times more in Minnesota 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· 1st of 51
$407
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.