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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $295.12 | Facility | None | $109.65 | $147.91 | $295.12 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $407.38 | Professional | None | $181.97 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Facility | None | $213.80 | $331.13 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $537.03 | Professional | None | $218.78 | $302.00 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $537.03 | Facility | None | $190.55 | $309.03 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $489.78 | Professional | None | $213.80 | $281.84 | $489.78 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $295.12 | Facility | None | $177.83 | $245.47 | $295.12 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $831.76 | Professional | None | $138.04 | $213.80 | $831.76 |
United Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $416.87 | Professional | None | $134.90 | $199.53 | $416.87 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $28.18 | $28.18 |
Where Minnesota sits
The same service costs 21.4 times more in Alaska than in New York. 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· 3rd of 51
$245
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.