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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | None | $134.90 | $134.90 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $588.84 | Facility | None | $107.15 | $281.84 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $363.08 | Professional | None | $194.98 | $281.84 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $1,230.27 | Facility | None | $281.84 | $426.58 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $398.11 | Professional | None | $208.93 | $363.08 | $398.11 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $954.99 | Facility | None | $257.04 | $407.38 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $380.19 | Professional | None | $186.21 | $354.81 | $380.19 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $407.38 | Facility | None | $169.82 | $234.42 | $407.38 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $912.01 | Professional | None | $154.88 | $338.84 | $912.01 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $501.19 | Professional | None | $147.91 | $288.40 | $501.19 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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
$288
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.