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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $63.10 | Professional | None | $38.90 | $44.67 | $63.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $41.69 Median $47.86 Typical High $81.28 | Facility | None | $41.69 | $47.86 | $81.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $47.86 | Professional | None | $38.02 | $42.66 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $446.68 | Facility | None | $57.54 | $151.36 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $93.33 | Professional | None | $54.95 | $69.18 | $93.33 |
Health Partners Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $354.81 | Facility | None | $89.13 | $147.91 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | None | $54.95 | $54.95 | $91.20 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $229.09 | Facility | None | $47.86 | $89.13 | $229.09 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $125.89 | Professional | None | $26.30 | $47.86 | $125.89 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Facility | None | $47.86 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $47.86 Typical High $112.20 | Professional | None | $19.95 | $47.86 | $112.20 |
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 $22.39 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | 52 · Reduced service | $22.39 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 53 · Discontinued | $8.91 | $8.91 | $11.48 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 23rd of 51
$47.86
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.