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 $8.71 Median $24.55 Typical High $24.55 | Facility | None | $8.71 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $18.62 Typical High $24.55 | Professional | None | $8.71 | $18.62 | $24.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14.13 Median $19.50 Typical High $30.90 | Facility | None | $14.13 | $19.50 | $30.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.48 Median $30.20 Typical High $63.10 | Professional | None | $11.48 | $30.20 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $218.78 | Facility | None | $51.29 | $77.62 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $70.79 | Professional | None | $13.18 | $31.62 | $70.79 |
Health Partners Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $169.82 | Facility | None | $43.65 | $72.44 | $169.82 |
Health Partners Setting Professional Modifier None Typical Low $12.88 Median $30.90 Typical High $64.57 | Professional | None | $12.88 | $30.90 | $64.57 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $30.90 Typical High $42.66 | Facility | None | $12.30 | $30.90 | $42.66 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $56.23 Typical High $128.82 | Professional | None | $22.39 | $56.23 | $128.82 |
United Setting Professional Modifier None Typical Low $9.55 Median $23.44 Typical High $56.23 | Professional | None | $9.55 | $23.44 | $56.23 |
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 $4.37 Median $12.30 Typical High $12.30 | Facility | 52 · Reduced service | $4.37 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $4.90 Typical High $4.90 | Facility | 53 · Discontinued | $1.78 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $9.33 Typical High $12.30 | Professional | 52 · Reduced service | $4.37 | $9.33 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $3.72 Typical High $4.90 | Professional | 53 · Discontinued | $1.78 | $3.72 | $4.90 |
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· 4th of 51
$24.55
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.