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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | None | $75.86 | $75.86 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $134.90 | Facility | None | $69.18 | $81.28 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | None | $64.57 | $72.44 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $741.31 | Facility | None | $100.00 | $257.04 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | None | $93.33 | $117.49 | $154.88 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $588.84 | Facility | None | $151.36 | $251.19 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $380.19 | Facility | None | $81.28 | $147.91 | $380.19 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $169.82 | Professional | None | $44.67 | $72.44 | $169.82 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $95.50 | Facility | None | $81.28 | $81.28 | $95.50 |
United Setting Professional Modifier None Typical Low $33.88 Median $74.13 Typical High $190.55 | Professional | None | $33.88 | $74.13 | $190.55 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $15.14 | $19.50 |
Where Minnesota sits
The same service costs 4.6 times more in Kansas 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
$81.28
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.