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 $41.69 Median $52.48 Typical High $52.48 | Facility | None | $41.69 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $54.95 | Professional | None | $41.69 | $48.98 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $123.03 Median $331.13 Typical High $1,659.59 | Facility | None | $123.03 | $331.13 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $66.07 | Professional | 52 · Reduced service + 53 · Discontinued | $24.55 | $38.02 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $467.74 | Facility | None | $109.65 | $162.18 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $154.88 | Professional | None | $67.61 | $93.33 | $154.88 |
Health Partners Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $371.54 | Facility | None | $97.72 | $158.49 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $144.54 | Professional | None | $67.61 | $83.18 | $144.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $81.28 Typical High $131.83 | Facility | None | $54.95 | $81.28 | $131.83 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $147.91 Typical High $478.63 | Professional | None | $64.57 | $147.91 | $478.63 |
United Setting Facility Modifier None Typical Low $239.88 Median $257.04 Typical High $338.84 | Facility | None | $239.88 | $257.04 | $338.84 |
United Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $162.18 | Professional | None | $47.86 | $85.11 | $162.18 |
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 $20.89 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $20.89 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $10.47 Typical High $10.47 | Facility | 53 · Discontinued | $8.32 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.44 Typical High $26.30 | Professional | 52 · Reduced service | $20.89 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $8.32 | $9.33 | $10.47 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Maryland. 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
$83.18
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.