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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | None | $44.67 | $44.67 | $56.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $44.67 Median $46.77 Typical High $446.68 | Facility | None | $44.67 | $46.77 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $46.77 | Professional | None | $38.02 | $42.66 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $436.52 | Facility | None | $93.33 | $151.36 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $91.20 | Professional | None | $54.95 | $61.66 | $91.20 |
Health Partners Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $346.74 | Facility | None | $89.13 | $144.54 | $346.74 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | None | $53.70 | $53.70 | $91.20 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $95.50 | Facility | None | $56.23 | $75.86 | $95.50 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $52.48 Typical High $234.42 | Professional | None | $23.99 | $52.48 | $234.42 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Facility | None | $46.77 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $38.02 Typical High $109.65 | Professional | None | $19.95 | $38.02 | $109.65 |
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 $22.39 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 52 · Reduced service | $22.39 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $8.91 | $11.22 |
Where Minnesota sits
The same service costs 5.8 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· 28th of 51
$46.77
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.