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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $16.98 | Professional | None | $11.22 | $13.18 | $16.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.49 Median $14.13 Typical High $89.13 | Facility | None | $13.49 | $14.13 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $14.13 | Professional | None | $11.22 | $12.59 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $44.67 Typical High $131.83 | Facility | None | $16.60 | $44.67 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $26.92 | Professional | None | $16.22 | $20.42 | $26.92 |
Health Partners Setting Facility Modifier None Typical Low $26.30 Median $43.65 Typical High $102.33 | Facility | None | $26.30 | $43.65 | $102.33 |
Health Partners Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $26.92 | Professional | None | $16.22 | $16.22 | $26.92 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $20.42 Typical High $100.00 | Facility | None | $12.02 | $20.42 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $9.12 Typical High $30.20 | Professional | None | $4.17 | $9.12 | $30.20 |
United Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $16.98 | Facility | None | $10.47 | $14.13 | $16.98 |
United Setting Professional Modifier None Typical Low $4.17 Median $9.12 Typical High $33.11 | Professional | None | $4.17 | $9.12 | $33.11 |
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 $6.61 Median $6.61 Typical High $6.61 | Facility | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 52 · Reduced service | $6.61 | $6.61 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.39 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.39 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska 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· 16th of 51
$14.13
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.