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 $53.70 Median $54.95 Typical High $54.95 | Facility | None | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $61.66 | Professional | None | $51.29 | $53.70 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $575.44 | Facility | None | $123.03 | $302.00 | $575.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $151.36 | Professional | None | $58.88 | $83.18 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $489.78 | Facility | None | $114.82 | $173.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | None | $83.18 | $109.65 | $173.78 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $389.05 | Facility | None | $102.33 | $165.96 | $389.05 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $162.18 | Professional | None | $83.18 | $87.10 | $162.18 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $120.23 | Facility | None | $69.18 | $87.10 | $120.23 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $331.13 | Professional | None | $67.61 | $158.49 | $331.13 |
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 $57.54 Median $100.00 Typical High $186.21 | Professional | None | $57.54 | $100.00 | $186.21 |
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 $26.92 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $26.92 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $25.70 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.47 | $10.96 | $10.96 |
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· 8th of 51
$89.13
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.