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 $19.95 Median $60.26 Typical High $87.10 | Facility | None | $19.95 | $60.26 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $42.66 | Professional | None | $16.98 | $19.95 | $42.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.95 Median $20.89 Typical High $89.13 | Facility | None | $19.95 | $20.89 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $20.89 | Professional | None | $16.98 | $19.05 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $67.61 Typical High $199.53 | Facility | None | $25.12 | $67.61 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $40.74 | Professional | None | $24.55 | $30.90 | $40.74 |
Health Partners Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $154.88 | Facility | None | $39.81 | $66.07 | $154.88 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | None | $24.55 | $24.55 | $40.74 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $100.00 | Facility | None | $25.12 | $42.66 | $100.00 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $66.07 | Professional | None | $9.77 | $21.38 | $66.07 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $25.12 | Facility | None | $20.89 | $20.89 | $25.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $19.50 Typical High $48.98 | Professional | None | $8.91 | $19.50 | $48.98 |
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 $10.00 Median $10.00 Typical High $10.00 | Facility | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $12.59 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $5.01 | Professional | 53 · Discontinued | $3.98 | $3.98 | $5.01 |
Where Minnesota sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 3rd of 51
$31.62
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.