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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $34.67 | Professional | None | $26.30 | $26.92 | $34.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $27.54 Median $28.84 Typical High $134.90 | Facility | None | $27.54 | $28.84 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | None | $22.91 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $91.20 Typical High $269.15 | Facility | None | $37.15 | $91.20 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $56.23 | Professional | None | $33.11 | $41.69 | $56.23 |
Health Partners Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $213.80 | Facility | None | $53.70 | $89.13 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None | $33.11 | $33.11 | $54.95 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $53.70 Typical High $177.83 | Facility | None | $28.84 | $53.70 | $177.83 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $61.66 | Professional | None | $15.85 | $25.70 | $61.66 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Facility | None | $28.84 | $28.84 | $34.67 |
United Setting Professional Modifier None Typical Low $12.02 Median $26.30 Typical High $67.61 | Professional | None | $12.02 | $26.30 | $67.61 |
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 $13.49 Median $13.49 Typical High $13.49 | Facility | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | 52 · Reduced service | $13.49 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.92 |
Where Minnesota sits
The same service costs 5.5 times more in Kansas than in Alabama. 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· 23rd of 51
$28.84
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.