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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $190.55 Typical High $302.00 | Facility | None | $54.95 | $190.55 | $302.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $95.50 | Professional | None | $37.15 | $48.98 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $316.23 | Facility | None | $74.13 | $112.20 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $112.20 | Professional | None | $53.70 | $70.79 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $251.19 | Facility | None | $66.07 | $104.71 | $251.19 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $104.71 | Professional | None | $53.70 | $56.23 | $104.71 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $74.13 | Facility | None | $43.65 | $56.23 | $74.13 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $204.17 | Professional | None | $37.15 | $77.62 | $204.17 |
United Setting Professional Modifier None Typical Low $35.48 Median $61.66 Typical High $114.82 | Professional | None | $35.48 | $61.66 | $114.82 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.61 | $7.08 | $7.08 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in New York. 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
$56.23
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.