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 $61.66 | Facility | None | $41.69 | $52.48 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $61.66 | Professional | None | $41.69 | $52.48 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $87.10 Typical High $186.21 | Facility | None | $34.67 | $87.10 | $186.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | None | $50.12 | $66.07 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $549.54 | Facility | None | $128.82 | $194.98 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $123.03 | Professional | None | $89.13 | $112.20 | $123.03 |
Health Partners Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $426.58 | Facility | None | $114.82 | $181.97 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $102.33 | Professional | None | $87.10 | $97.72 | $102.33 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $97.72 Typical High $131.83 | Facility | None | $53.70 | $97.72 | $131.83 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $346.74 Typical High $371.54 | Professional | None | $83.18 | $346.74 | $371.54 |
United Setting Professional Modifier None Typical Low $53.70 Median $123.03 Typical High $218.78 | Professional | None | $53.70 | $123.03 | $218.78 |
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 $27.54 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $27.54 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $10.96 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $27.54 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.30 |
Where Minnesota sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 13th of 51
$67.61
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.