How much rates vary
Facilitymedian $148 · 10th to 90th $123 to $617Professionalmedian $151 · 10th to 90th $55 to $219
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | None | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $60.26 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $17.78 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.02 | $12.30 | $12.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $239.88 | Facility | None | $125.89 | $147.91 | $239.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None | $120.23 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $1,513.56 | Facility | None | $354.81 | $537.03 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $218.78 | Professional | None | $173.78 | $177.83 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $1,202.26 | Facility | None | $323.59 | $512.86 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $213.80 | Facility | None | $138.04 | $147.91 | $213.80 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $870.96 | Professional | None | $44.67 | $58.88 | $870.96 |
United Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $218.78 | Facility | None | $154.88 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $77.62 | Professional | None | $44.67 | $54.95 | $77.62 |
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 2.4 times more in Montana than in Utah. 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· 2nd of 51
$151
MT $155UT $64.57
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.