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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None | $37.15 | $37.15 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $446.68 | Facility | None | $37.15 | $38.90 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $38.90 | Professional | None | $31.62 | $35.48 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $371.54 | Facility | None | $77.62 | $125.89 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $75.86 | Professional | None | $45.71 | $51.29 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $123.03 Typical High $288.40 | Facility | None | $74.13 | $123.03 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | None | $45.71 | $45.71 | $75.86 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $63.10 Typical High $79.43 | Facility | None | $46.77 | $63.10 | $79.43 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $43.65 Typical High $194.98 | Professional | None | $19.95 | $43.65 | $194.98 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Facility | None | $38.90 | $38.90 | $46.77 |
United Setting Professional Modifier None Typical Low $16.60 Median $31.62 Typical High $91.20 | Professional | None | $16.60 | $31.62 | $91.20 |
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 $18.62 Median $18.62 Typical High $18.62 | Facility | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.33 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.33 |
Where Minnesota sits
The same service costs 6.6 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· 27th of 51
$38.90
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.