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 $144.54 Median $147.91 Typical High $147.91 | Facility | None | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $165.96 | Professional | None | $138.04 | $144.54 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,380.38 | Facility | None | $208.93 | $562.34 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $407.38 | Professional | None | $154.88 | $223.87 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,318.26 | Facility | None | $309.03 | $467.74 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $467.74 | Professional | None | $218.78 | $295.12 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,047.13 | Facility | None | $275.42 | $446.68 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $436.52 | Professional | None | $223.87 | $234.42 | $436.52 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $302.00 | Facility | None | $186.21 | $234.42 | $302.00 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $407.38 Typical High $1,258.93 | Professional | None | $177.83 | $407.38 | $1,258.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $478.63 | Professional | None | $144.54 | $251.19 | $478.63 |
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 $72.44 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $28.84 | $29.51 |
Where Minnesota sits
The same service costs 2.8 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· 8th of 51
$234
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.