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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | None | $19.50 | $19.50 | $28.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $169.82 | Facility | None | $64.57 | $91.20 | $169.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | None | $30.90 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $190.55 | Facility | None | $44.67 | $67.61 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $89.13 | Professional | None | $29.51 | $37.15 | $89.13 |
Health Partners Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $151.36 | Facility | None | $39.81 | $63.10 | $151.36 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $63.10 | Professional | None | $28.84 | $28.84 | $63.10 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $537.03 | Facility | None | $26.92 | $37.15 | $537.03 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $36.31 Typical High $645.65 | Professional | None | $18.62 | $36.31 | $645.65 |
United Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $57.54 | Professional | None | $18.62 | $30.90 | $57.54 |
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 $9.77 Median $9.77 Typical High $9.77 | Facility | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | 52 · Reduced service | $9.77 | $9.77 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.62 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.62 |
Where Minnesota sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 17th of 51
$38.02
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.