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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | None | $32.36 | $38.90 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $37.15 Median $125.89 Typical High $229.09 | Facility | None | $37.15 | $125.89 | $229.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $30.20 | Professional | None | $23.99 | $26.92 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $380.19 | Facility | None | $89.13 | $134.90 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $53.70 | Professional | None | $33.11 | $44.67 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $302.00 | Facility | None | $79.43 | $125.89 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | None | $42.66 | $42.66 | $45.71 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $67.61 | Facility | None | $38.90 | $66.07 | $67.61 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $354.81 | Professional | None | $32.36 | $32.36 | $354.81 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None | $32.36 | $32.36 | $60.26 |
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 $19.50 Median $19.50 Typical High $19.50 | Facility | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Where Minnesota sits
The same service costs 3.5 times more in Montana than in North Dakota. 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· 12th of 51
$38.90
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.