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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | None | $45.71 | $46.77 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $295.12 | Facility | None | $72.44 | $125.89 | $295.12 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $141.25 | Professional | None | $57.54 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $208.93 | Facility | None | $69.18 | $107.15 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | None | $70.79 | $100.00 | $177.83 |
Health Partners Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $173.78 | Facility | None | $61.66 | $100.00 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $162.18 | Professional | None | $70.79 | $93.33 | $162.18 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $97.72 | Facility | None | $57.54 | $75.86 | $97.72 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $263.03 | Professional | None | $52.48 | $77.62 | $263.03 |
United Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $141.25 | Professional | None | $46.77 | $74.13 | $141.25 |
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 $23.44 Median $23.44 Typical High $23.44 | Facility | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.33 | $9.33 |
Where Minnesota sits
The same service costs 6.0 times more in Alaska 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· 4th of 51
$85.11
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.