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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | None | $52.48 | $52.48 | $64.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $169.82 Typical High $741.31 | Facility | None | $79.43 | $169.82 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $144.54 | Professional | None | $70.79 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $467.74 | Facility | None | $107.15 | $162.18 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $151.36 | Professional | None | $79.43 | $138.04 | $151.36 |
Health Partners Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $363.08 | Facility | None | $97.72 | $154.88 | $363.08 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $144.54 | Professional | None | $70.79 | $134.90 | $144.54 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $107.15 | Facility | None | $64.57 | $85.11 | $107.15 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $112.20 Typical High $977.24 | Professional | None | $56.23 | $112.20 | $977.24 |
United Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $173.78 | Professional | None | $52.48 | $97.72 | $173.78 |
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 $25.70 Median $25.70 Typical High $25.70 | Facility | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $9.55 | $10.47 | $10.47 |
Where Minnesota sits
The same service costs 3.5 times more in Minnesota than in Utah. 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
$107
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.