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 $57.54 Median $117.49 Typical High $257.04 | Facility | None | $57.54 | $117.49 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $74.13 | Professional | None | $27.54 | $27.54 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $208.93 | Facility | None | $28.18 | $29.51 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $29.51 | Professional | None | $23.44 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $275.42 | Facility | None | $38.02 | $95.50 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $63.10 | Professional | None | $34.67 | $43.65 | $63.10 |
Health Partners Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $218.78 | Facility | None | $56.23 | $93.33 | $218.78 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | None | $34.67 | $34.67 | $57.54 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $229.09 | Facility | None | $46.77 | $91.20 | $229.09 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $35.48 Typical High $213.80 | Professional | None | $17.78 | $35.48 | $213.80 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Facility | None | $29.51 | $29.51 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $27.54 Typical High $69.18 | Professional | None | $12.30 | $27.54 | $69.18 |
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 $13.80 Median $13.80 Typical High $13.80 | Facility | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.08 |
Where Minnesota sits
The same service costs 6.8 times more in Vermont 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· 2nd of 51
$91.20
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.