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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | None | $52.48 | $52.48 | $67.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $134.90 | Facility | None | $53.70 | $56.23 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $56.23 | Professional | None | $44.67 | $50.12 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $524.81 | Facility | None | $70.79 | $177.83 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $109.65 | Professional | None | $64.57 | $81.28 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $416.87 | Facility | None | $104.71 | $173.78 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $263.03 | Facility | None | $56.23 | $102.33 | $263.03 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $50.12 Typical High $120.23 | Professional | None | $30.90 | $50.12 | $120.23 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Facility | None | $56.23 | $56.23 | $67.61 |
United Setting Professional Modifier None Typical Low $23.44 Median $51.29 Typical High $131.83 | Professional | None | $23.44 | $51.29 | $131.83 |
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 $26.30 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 52 · Reduced service | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 53 · Discontinued | $10.47 | $10.47 | $13.49 |
Where Minnesota sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 25th of 51
$56.23
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.