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 $58.88 Median $85.11 Typical High $151.36 | Facility | None | $58.88 | $85.11 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $75.86 | Professional | None | $17.78 | $25.70 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $79.43 | Facility | None | $25.12 | $26.30 | $79.43 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.30 | Professional | None | $21.38 | $23.99 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $245.47 | Facility | None | $57.54 | $87.10 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $35.48 | Professional | None | $28.18 | $29.51 | $35.48 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $194.98 | Facility | None | $52.48 | $83.18 | $194.98 |
Health Partners Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $173.78 | Facility | None | $36.31 | $69.18 | $173.78 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $40.74 Typical High $186.21 | Professional | None | $11.22 | $40.74 | $186.21 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Facility | None | $26.30 | $26.30 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $67.61 | Professional | None | $10.72 | $26.30 | $67.61 |
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 $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Delaware. 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
$66.07
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.