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 $75.86 Median $407.38 Typical High $575.44 | Facility | None | $75.86 | $407.38 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $416.87 | Professional | None | $91.20 | $117.49 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $181.97 | Facility | None | $107.15 | $154.88 | $181.97 |
BCBS Minnesota Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $154.88 | Professional | None | $125.89 | $141.25 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $1,479.11 | Facility | None | $309.03 | $501.19 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $208.93 | Professional | None | $165.96 | $177.83 | $208.93 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $1,148.15 | Facility | None | $309.03 | $501.19 | $1,148.15 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $288.40 Typical High $741.31 | Facility | None | $154.88 | $288.40 | $741.31 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $331.13 | Professional | None | $77.62 | $123.03 | $331.13 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Facility | None | $154.88 | $154.88 | $186.21 |
United Setting Professional Modifier None Typical Low $66.07 Median $125.89 Typical High $363.08 | Professional | None | $66.07 | $125.89 | $363.08 |
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 $74.13 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $29.51 | $37.15 |
Where Minnesota sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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· 12th of 51
$155
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.