How much rates vary
Facilitymedian $214 · 10th to 90th $178 to $891Professionalmedian $219 · 10th to 90th $85 to $316
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $346.74 | Facility | None | $181.97 | $213.80 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | None | $173.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,187.76 | Facility | None | $512.86 | $776.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $316.23 | Professional | None | $251.19 | $257.04 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,737.80 | Facility | None | $467.74 | $741.31 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $338.84 | Facility | None | $199.53 | $213.80 | $338.84 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $1,621.81 | Professional | None | $70.79 | $89.13 | $1,621.81 |
United Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $346.74 | Facility | None | $245.47 | $288.40 | $346.74 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $123.03 | Professional | None | $70.79 | $85.11 | $123.03 |
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 3.3 times more in Alaska than in Indiana. 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· 8th of 51
$219
AK $347IN $105
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.