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 $75.86 Median $114.82 Typical High $323.59 | Facility | None | $75.86 | $114.82 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | None | $91.20 | $109.65 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $1,230.27 | Facility | None | $416.87 | $741.31 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $239.88 | Professional | None | $109.65 | $138.04 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $1,202.26 | Facility | None | $281.84 | $426.58 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $186.21 | Professional | None | $131.83 | $165.96 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | None | $251.19 | $398.11 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | None | $131.83 | $144.54 | $144.54 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $489.78 | Facility | None | $128.82 | $208.93 | $489.78 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $741.31 | Professional | None | $144.54 | $158.49 | $741.31 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $323.59 | Professional | None | $120.23 | $158.49 | $323.59 |
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 $60.26 Median $60.26 Typical High $67.61 | Facility | 52 · Reduced service | $60.26 | $60.26 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.92 | Facility | 53 · Discontinued | $23.99 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.92 |
Where Minnesota sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 10th of 51
$135
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.