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 $93.33 Median $288.40 Typical High $398.11 | Facility | None | $93.33 | $288.40 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $120.23 | Professional | None | $70.79 | $93.33 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $302.00 | Facility | None | $125.89 | $162.18 | $302.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $263.03 | Professional | None | $109.65 | $138.04 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $575.44 | Facility | None | $218.78 | $288.40 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $141.25 | Professional | None | $87.10 | $109.65 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $457.09 | Facility | None | $186.21 | $281.84 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | None | $85.11 | $85.11 | $112.20 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $323.59 | Facility | None | $134.90 | $218.78 | $323.59 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $309.03 | Professional | None | $74.13 | $144.54 | $309.03 |
United Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Facility | None | $97.72 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $245.47 | Professional | None | $69.18 | $79.43 | $245.47 |
2 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 $45.71 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $45.71 | $45.71 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Florida. 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
$148
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.