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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | UE · Used equipment | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $56.23 | Professional | None | $42.66 | $45.71 | $56.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $33.88 Typical High $38.90 | Professional | UE · Used equipment | $31.62 | $33.88 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $102.33 | Facility | None | $66.07 | $72.44 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $229.09 Typical High $575.44 | Facility | None | $44.67 | $229.09 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $100.00 | Professional | None | $69.18 | $79.43 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $549.54 | Facility | None | $144.54 | $234.42 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | None | $67.61 | $79.43 | $79.43 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $70.79 Typical High $316.23 | Facility | None | $39.81 | $70.79 | $316.23 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $61.66 | Professional | None | $26.92 | $36.31 | $61.66 |
Medica Setting Professional Modifier RR · Rental Typical Low $2.82 Median $3.72 Typical High $5.89 | Professional | RR · Rental | $2.82 | $3.72 | $5.89 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $27.54 Typical High $43.65 | Professional | UE · Used equipment | $20.42 | $27.54 | $43.65 |
United Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $100.00 | Professional | None | $26.92 | $36.31 | $100.00 |
United Setting Professional Modifier RR · Rental Typical Low $2.75 Median $3.72 Typical High $10.23 | Professional | RR · Rental | $2.75 | $3.72 | $10.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $27.54 Typical High $74.13 | Professional | UE · Used equipment | $20.42 | $27.54 | $74.13 |
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 $29.51 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service + 53 · Discontinued | $29.51 | $37.15 | $37.15 |
Where Minnesota sits
The same service costs 3.8 times more in Hawaii 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· 11th of 51
$54.95
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.