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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $128.82 | Professional | None | $109.65 | $114.82 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $134.90 Typical High $870.96 | Facility | None | $58.88 | $134.90 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $288.40 | Professional | None | $123.03 | $162.18 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | None | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $363.08 | Professional | None | $173.78 | $234.42 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $812.83 | Facility | None | $218.78 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $346.74 | Professional | None | $173.78 | $181.97 | $346.74 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $239.88 | Facility | None | $95.50 | $181.97 | $239.88 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $251.19 Typical High $660.69 | Professional | None | $125.89 | $251.19 | $660.69 |
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 $114.82 Median $199.53 Typical High $380.19 | Professional | None | $114.82 | $199.53 | $380.19 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $54.95 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.88 | $22.91 | $22.91 |
Where Minnesota sits
The same service costs 2.7 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· 9th of 51
$178
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.