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 $25.12 Median $25.12 Typical High $60.26 | Facility | None | $25.12 | $25.12 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $60.26 | Professional | None | $25.12 | $47.86 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $141.25 Typical High $467.74 | Facility | None | $52.48 | $141.25 | $467.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $77.62 Typical High $154.88 | Professional | None | $33.11 | $77.62 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $537.03 | Facility | None | $125.89 | $186.21 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $81.28 Typical High $177.83 | Professional | None | $38.02 | $81.28 | $177.83 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $426.58 | Facility | None | $109.65 | $181.97 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $158.49 | Professional | None | $37.15 | $81.28 | $158.49 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $117.49 | Facility | None | $35.48 | $75.86 | $117.49 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $141.25 Typical High $323.59 | Professional | None | $56.23 | $141.25 | $323.59 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $26.92 Median $64.57 Typical High $144.54 | Professional | None | $26.92 | $64.57 | $144.54 |
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 $12.59 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $12.59 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $12.02 Typical High $12.02 | Facility | 53 · Discontinued | $5.01 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $12.59 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $5.01 | $9.55 | $12.02 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 3rd of 51
$67.61
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.