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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | UE · Used equipment | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | UE · Used equipment | $50.12 | $50.12 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $177.83 | Facility | None | $112.20 | $125.89 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $323.59 Typical High $851.14 | Facility | None | $66.07 | $323.59 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $147.91 | Professional | None | $102.33 | $117.49 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $812.83 | Facility | None | $213.80 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None | $100.00 | $117.49 | $117.49 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $478.63 | Facility | None | $61.66 | $123.03 | $478.63 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $104.71 | Professional | None | $48.98 | $69.18 | $104.71 |
Medica Setting Professional Modifier RR · Rental Typical Low $4.90 Median $6.92 Typical High $10.47 | Professional | RR · Rental | $4.90 | $6.92 | $10.47 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $52.48 Typical High $77.62 | Professional | UE · Used equipment | $36.31 | $52.48 | $77.62 |
United Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $173.78 | Professional | None | $42.66 | $69.18 | $173.78 |
United Setting Professional Modifier RR · Rental Typical Low $4.27 Median $6.92 Typical High $17.38 | Professional | RR · Rental | $4.27 | $6.92 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $52.48 Typical High $128.82 | Professional | UE · Used equipment | $32.36 | $52.48 | $128.82 |
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 $51.29 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service + 53 · Discontinued | $51.29 | $64.57 | $64.57 |
Where Minnesota sits
The same service costs 2.5 times more in Kansas 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· 6th of 51
$100
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.