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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | None | $66.07 | $81.28 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $645.65 | Facility | None | $56.23 | $58.88 | $645.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $58.88 | Professional | None | $46.77 | $53.70 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $812.83 Typical High $2,290.87 | Facility | None | $537.03 | $812.83 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $257.04 Typical High $323.59 | Professional | None | $66.07 | $257.04 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,819.70 | Facility | None | $478.63 | $758.58 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $138.04 Typical High $407.38 | Facility | None | $70.79 | $138.04 | $407.38 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $478.63 Typical High $851.14 | Professional | None | $181.97 | $478.63 | $851.14 |
United Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $645.65 | Professional | None | $177.83 | $295.12 | $645.65 |
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 $39.81 Median $39.81 Typical High $39.81 | Facility | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $39.81 Typical High $57.54 | Professional | 52 · Reduced service | $33.11 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $22.91 | Professional | 53 · Discontinued | $13.49 | $16.22 | $22.91 |
Where Minnesota sits
The same service costs 4.9 times more in Nebraska than in Florida. 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
$257
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.