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 $10.23 Median $20.42 Typical High $20.42 | Facility | None | $10.23 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $20.42 | Professional | None | $9.33 | $13.49 | $20.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $36.31 Median $104.71 Typical High $218.78 | Facility | None | $36.31 | $104.71 | $218.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.48 Median $23.99 Typical High $43.65 | Professional | None | $11.48 | $23.99 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $61.66 Typical High $177.83 | Facility | None | $41.69 | $61.66 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $25.12 | Professional | None | $9.77 | $15.14 | $25.12 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $141.25 | Facility | None | $35.48 | $58.88 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $19.95 | Professional | None | $9.77 | $17.78 | $19.95 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $20.42 Typical High $41.69 | Facility | None | $12.30 | $20.42 | $41.69 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $47.86 Typical High $117.49 | Professional | None | $19.50 | $47.86 | $117.49 |
United Setting Facility Modifier None Typical Low $95.50 Median $102.33 Typical High $134.90 | Facility | None | $95.50 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $10.47 Median $20.42 Typical High $46.77 | Professional | None | $10.47 | $20.42 | $46.77 |
2 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 $5.13 Median $10.23 Typical High $10.23 | Facility | 52 · Reduced service | $5.13 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.75 Typical High $10.23 | Professional | 52 · Reduced service | $4.90 | $5.75 | $10.23 |
Where Minnesota sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 5th of 51
$19.95
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.