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 $29.51 Median $39.81 Typical High $165.96 | Facility | None | $29.51 | $39.81 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $39.81 | Professional | None | $29.51 | $33.88 | $39.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $676.08 Typical High $1,513.56 | Facility | None | $204.17 | $676.08 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $74.13 | Professional | None | $41.69 | $44.67 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $354.81 | Facility | None | $83.18 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | None | $43.65 | $47.86 | $54.95 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $281.84 | Facility | None | $74.13 | $117.49 | $281.84 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $954.99 | Facility | None | $50.12 | $64.57 | $954.99 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $218.78 | Professional | None | $43.65 | $46.77 | $218.78 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,230.27 | $1,584.89 |
United Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $85.11 | Professional | None | $37.15 | $46.77 | $85.11 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Where Minnesota sits
The same service costs 2.1 times more in North Dakota 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· 11th of 51
$43.65
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.