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 $22.39 Median $66.07 Typical High $97.72 | Facility | None | $22.39 | $66.07 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $9.55 | Professional | None | $2.95 | $2.95 | $9.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.02 Median $3.16 Typical High $8.51 | Facility | None | $3.02 | $3.16 | $8.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.51 Median $2.82 Typical High $3.16 | Professional | None | $2.51 | $2.82 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $10.23 Typical High $30.20 | Facility | None | $4.07 | $10.23 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $6.31 | Professional | None | $3.72 | $4.68 | $6.31 |
Health Partners Setting Facility Modifier None Typical Low $6.03 Median $10.00 Typical High $23.99 | Facility | None | $6.03 | $10.00 | $23.99 |
Health Partners Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $6.17 | Professional | None | $3.72 | $3.72 | $6.17 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $45.71 Typical High $93.33 | Facility | None | $8.71 | $45.71 | $93.33 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $28.84 | Professional | None | $2.34 | $3.80 | $28.84 |
United Setting Facility Modifier None Typical Low $1.12 Median $3.16 Typical High $3.80 | Facility | None | $1.12 | $3.16 | $3.80 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.47 Typical High $7.41 | Professional | None | $1.91 | $3.47 | $7.41 |
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 $1.48 Median $1.48 Typical High $1.48 | Facility | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.60 | Facility | 53 · Discontinued | $0.60 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.91 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.76 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.76 |
Where Minnesota sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 1st 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.