How much rates vary
Facilitymedian $158 · 10th to 90th $132 to $661Professionalmedian $158 · 10th to 90th $62 to $229
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | None | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $25.12 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $12.59 | $13.18 | $13.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $257.04 | Facility | None | $134.90 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | None | $128.82 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,621.81 | Facility | None | $380.19 | $575.44 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | None | $181.97 | $190.55 | $229.09 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $1,288.25 | Facility | None | $338.84 | $537.03 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $239.88 | Facility | None | $147.91 | $158.49 | $239.88 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $954.99 | Professional | None | $48.98 | $63.10 | $954.99 |
United Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $239.88 | Facility | None | $169.82 | $204.17 | $239.88 |
United Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $87.10 | Professional | None | $48.98 | $61.66 | $87.10 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Minnesota sits
The same service costs 2.6 times more in Montana than in Ohio. 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
$158
MT $186OH $72.44
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.