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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | UE · Used equipment | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $169.82 | Professional | None | $87.10 | $87.10 | $169.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $64.57 Typical High $79.43 | Professional | UE · Used equipment | $60.26 | $64.57 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $239.88 | Facility | None | $151.36 | $181.97 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $436.52 Typical High $1,096.48 | Facility | None | $81.28 | $436.52 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $186.21 | Professional | None | $128.82 | $147.91 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,047.13 | Facility | None | $275.42 | $446.68 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | None | $128.82 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $181.97 Typical High $588.84 | Facility | None | $85.11 | $181.97 | $588.84 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $147.91 | Professional | None | $64.57 | $95.50 | $147.91 |
Medica Setting Professional Modifier RR · Rental Typical Low $6.46 Median $9.55 Typical High $14.79 | Professional | RR · Rental | $6.46 | $9.55 | $14.79 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $72.44 Typical High $109.65 | Professional | UE · Used equipment | $47.86 | $72.44 | $109.65 |
United Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $218.78 | Professional | None | $57.54 | $95.50 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $5.75 Median $9.55 Typical High $21.88 | Professional | RR · Rental | $5.75 | $9.55 | $21.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $72.44 Typical High $165.96 | Professional | UE · Used equipment | $43.65 | $72.44 | $165.96 |
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 $74.13 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service + 53 · Discontinued | $74.13 | $93.33 | $93.33 |
Where Minnesota sits
The same service costs 3.0 times more in Kansas than in New Mexico. 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
$129
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.