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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | UE · Used equipment | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $93.33 | Professional | None | $31.62 | $31.62 | $93.33 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | UE · Used equipment | $23.99 | $23.99 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $93.33 | Facility | None | $54.95 | $74.13 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $158.49 Typical High $407.38 | Facility | None | $30.90 | $158.49 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $66.07 | Professional | None | $46.77 | $52.48 | $66.07 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $380.19 | Facility | None | $102.33 | $162.18 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $77.62 Typical High $223.87 | Facility | None | $31.62 | $77.62 | $223.87 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $58.88 | Professional | None | $25.12 | $38.02 | $58.88 |
Medica Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.80 Typical High $6.03 | Professional | RR · Rental | $2.51 | $3.80 | $6.03 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $28.18 Typical High $44.67 | Professional | UE · Used equipment | $18.62 | $28.18 | $44.67 |
United Setting Professional Modifier None Typical Low $21.88 Median $38.02 Typical High $87.10 | Professional | None | $21.88 | $38.02 | $87.10 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $3.80 Typical High $8.71 | Professional | RR · Rental | $2.19 | $3.80 | $8.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $28.18 Typical High $64.57 | Professional | UE · Used equipment | $16.60 | $28.18 | $64.57 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service + 53 · Discontinued | $30.20 | $37.15 | $37.15 |
Where Minnesota sits
The same service costs 2.8 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· 7th of 51
$47.86
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.