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 $95.50 Median $295.12 Typical High $724.44 | Facility | None | $95.50 | $295.12 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | None | $83.18 | $95.50 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $128.82 Median $281.84 Typical High $741.31 | Facility | None | $128.82 | $281.84 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $269.15 | Professional | None | $112.20 | $141.25 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $588.84 | Facility | None | $223.87 | $295.12 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $144.54 | Professional | None | $89.13 | $112.20 | $144.54 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $467.74 | Facility | None | $190.55 | $295.12 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $114.82 | Professional | None | $87.10 | $87.10 | $114.82 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $478.63 | Facility | None | $144.54 | $208.93 | $478.63 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $630.96 | Professional | None | $79.43 | $93.33 | $630.96 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $257.04 | Professional | None | $79.43 | $83.18 | $257.04 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $47.86 | $47.86 |
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· 10th of 51
$117
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.