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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | UE · Used equipment | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | None | $177.83 | $177.83 | $223.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | UE · Used equipment | $131.83 | $131.83 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $549.54 | Facility | None | $316.23 | $363.08 | $549.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | None | $302.00 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $891.25 Typical High $2,290.87 | Facility | None | $177.83 | $891.25 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $389.05 | Professional | None | $302.00 | $323.59 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | None | $275.42 | $302.00 | $302.00 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $302.00 Typical High $1,230.27 | Facility | None | $26.30 | $302.00 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $257.04 | Professional | None | $109.65 | $173.78 | $257.04 |
Medica Setting Professional Modifier RR · Rental Typical Low $11.22 Median $17.78 Typical High $28.18 | Professional | RR · Rental | $11.22 | $17.78 | $28.18 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $128.82 Typical High $190.55 | Professional | UE · Used equipment | $83.18 | $128.82 | $190.55 |
United Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $309.03 | Professional | None | $93.33 | $173.78 | $309.03 |
United Setting Professional Modifier RR · Rental Typical Low $9.12 Median $17.78 Typical High $34.67 | Professional | RR · Rental | $9.12 | $17.78 | $34.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $128.82 Typical High $234.42 | Professional | UE · Used equipment | $69.18 | $128.82 | $234.42 |
6 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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | 52 · Reduced service | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | 53 · Discontinued | $35.48 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $31.62 |
Where Minnesota sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 2nd of 51
$302
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.