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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | None | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $41.69 Median $87.10 Typical High $251.19 | Facility | None | $41.69 | $87.10 | $251.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $72.44 | Professional | None | $33.11 | $50.12 | $72.44 |
BCBS Minnesota Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $36.31 | Professional | 53 · Discontinued | $16.60 | $25.70 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $239.88 | Facility | None | $56.23 | $85.11 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $87.10 | Professional | None | $36.31 | $53.70 | $87.10 |
Health Partners Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $186.21 | Facility | None | $50.12 | $79.43 | $186.21 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $81.28 | Professional | None | $35.48 | $51.29 | $81.28 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $57.54 | Facility | None | $25.70 | $42.66 | $57.54 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $54.95 Typical High $177.83 | Professional | None | $27.54 | $54.95 | $177.83 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $26.92 | Facility | None | $24.55 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $85.11 | Professional | None | $25.12 | $45.71 | $85.11 |
2 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 $13.18 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $12.59 | $13.18 | $13.18 |
Where Minnesota sits
The same service costs 2.6 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· 5th of 51
$45.71
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.