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 $223.87 Median $229.09 Typical High $229.09 | Facility | None | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $245.47 | Professional | None | $208.93 | $223.87 | $245.47 |
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 $245.47 Median $346.74 Typical High $616.60 | Professional | None | $245.47 | $346.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $2,041.74 | Facility | None | $478.63 | $724.44 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $707.95 | Professional | None | $338.84 | $446.68 | $707.95 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,584.89 | Facility | None | $426.58 | $691.83 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $660.69 | Professional | None | $338.84 | $363.08 | $660.69 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $467.74 | Facility | None | $281.84 | $363.08 | $467.74 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $630.96 Typical High $1,288.25 | Professional | None | $269.15 | $630.96 | $1,288.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $741.31 | Professional | None | $223.87 | $389.05 | $741.31 |
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 $112.20 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $44.67 | $45.71 |
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
$363
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.