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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | None | $46.77 | $47.86 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $263.03 | Facility | None | $74.13 | $112.20 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $141.25 | Professional | None | $61.66 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $112.20 Typical High $213.80 | Facility | None | $72.44 | $112.20 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $181.97 | Professional | None | $72.44 | $102.33 | $181.97 |
Health Partners Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $177.83 | Facility | None | $64.57 | $102.33 | $177.83 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $165.96 | Professional | None | $72.44 | $95.50 | $165.96 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $102.33 | Facility | None | $60.26 | $81.28 | $102.33 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $275.42 | Professional | None | $56.23 | $83.18 | $275.42 |
United Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $147.91 | Professional | None | $48.98 | $77.62 | $147.91 |
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 $23.99 Median $23.99 Typical High $23.99 | Facility | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.44 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.33 | $9.55 | $9.55 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 4th of 51
$87.10
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.