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 $100.00 Median $131.83 Typical High $363.08 | Facility | None | $100.00 | $131.83 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $144.54 | Professional | None | $100.00 | $120.23 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,148.15 | Facility | None | $208.93 | $562.34 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $302.00 | Professional | None | $117.49 | $154.88 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $1,288.25 | Facility | None | $302.00 | $446.68 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $295.12 | Professional | None | $213.80 | $269.15 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $1,023.29 | Facility | None | $269.15 | $426.58 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $245.47 | Professional | None | $208.93 | $229.09 | $245.47 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $229.09 Typical High $512.86 | Facility | None | $114.82 | $229.09 | $512.86 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $794.33 | Professional | None | $125.89 | $125.89 | $794.33 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | None | $125.89 | $125.89 | $165.96 |
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 $66.07 Median $69.18 Typical High $72.44 | Facility | 52 · Reduced service | $66.07 | $69.18 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $28.84 | Facility | 53 · Discontinued | $26.30 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $26.30 | $28.84 |
Where Minnesota sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 17th of 51
$145
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.