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 $12.59 Median $102.33 Typical High $131.83 | Facility | None | $12.59 | $102.33 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $22.39 | Professional | None | $12.59 | $12.59 | $22.39 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $13.18 Typical High $109.65 | Facility | None | $12.59 | $13.18 | $109.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $13.18 | Professional | None | $10.72 | $12.02 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $42.66 Typical High $123.03 | Facility | None | $16.22 | $42.66 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $25.70 | Professional | None | $15.49 | $19.50 | $25.70 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $97.72 | Facility | None | $25.12 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $63.10 | Facility | None | $15.85 | $26.30 | $63.10 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $34.67 | Professional | None | $7.59 | $13.18 | $34.67 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Facility | None | $13.18 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $5.62 Median $12.30 Typical High $30.90 | Professional | None | $5.62 | $12.30 | $30.90 |
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 $6.17 Median $6.17 Typical High $6.17 | Facility | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $7.94 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.16 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Georgia. 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· 12th of 51
$15.49
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.