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 $3.80 Median $138.04 Typical High $169.82 | Facility | None | $3.80 | $138.04 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.80 Typical High $5.37 | Professional | None | $3.55 | $3.80 | $5.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.80 Median $3.98 Typical High $9.77 | Facility | None | $3.80 | $3.98 | $9.77 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $3.98 | Professional | None | $3.24 | $3.63 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $12.59 Typical High $37.15 | Facility | None | $4.68 | $12.59 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $7.59 | Professional | None | $4.57 | $5.75 | $7.59 |
Health Partners Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $28.84 | Facility | None | $7.41 | $12.30 | $28.84 |
Health Partners Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $6.61 Typical High $100.00 | Facility | None | $3.98 | $6.61 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $8.51 | Professional | None | $2.40 | $3.98 | $8.51 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $8.91 | Facility | None | $3.98 | $3.98 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $9.33 | Professional | None | $2.40 | $3.98 | $9.33 |
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 $1.91 Median $1.91 Typical High $1.91 | Facility | 52 · Reduced service | $1.91 | $1.91 | $1.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | 53 · Discontinued | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $1.91 Typical High $2.40 | Professional | 52 · Reduced service | $1.91 | $1.91 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.95 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.95 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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
$4.47
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.