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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | None | $69.18 | $83.18 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $43.65 Median $181.97 Typical High $331.13 | Facility | None | $43.65 | $181.97 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | None | $34.67 | $38.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $524.81 | Facility | None | $123.03 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $75.86 | Professional | None | $60.26 | $70.79 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $177.83 Typical High $416.87 | Facility | None | $112.20 | $177.83 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | None | $58.88 | $58.88 | $63.10 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $141.25 | Facility | None | $74.13 | $93.33 | $141.25 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $426.58 | Professional | None | $79.43 | $79.43 | $426.58 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $147.91 | Professional | None | $79.43 | $79.43 | $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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.98 | $16.98 |
Where Minnesota sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 22nd of 51
$75.86
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.