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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $144.54 | Professional | None | $114.82 | $134.90 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $91.20 Median $204.17 Typical High $436.52 | Facility | None | $91.20 | $204.17 | $436.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $389.05 | Professional | None | $169.82 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $602.56 | Facility | None | $204.17 | $316.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $512.86 | Professional | None | $204.17 | $275.42 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $501.19 | Facility | None | $177.83 | $288.40 | $501.19 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $467.74 | Professional | None | $204.17 | $269.15 | $467.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $316.23 | Facility | None | $54.95 | $213.80 | $316.23 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $758.58 | Professional | None | $102.33 | $213.80 | $758.58 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $208.93 | Facility | None | $147.91 | $162.18 | $208.93 |
United Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $389.05 | Professional | None | $100.00 | $169.82 | $389.05 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 2nd of 51
$229
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.