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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $9.33 | Professional | None | $7.24 | $7.41 | $9.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.41 Median $7.94 Typical High $89.13 | Facility | None | $7.41 | $7.94 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $7.94 | Professional | None | $6.31 | $7.08 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $25.12 Typical High $74.13 | Facility | None | $10.23 | $25.12 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $15.14 | Professional | None | $9.12 | $11.48 | $15.14 |
Health Partners Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $57.54 | Facility | None | $14.79 | $24.55 | $57.54 |
Health Partners Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.14 | Professional | None | $9.12 | $9.12 | $15.14 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $100.00 | Facility | None | $7.94 | $14.45 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $7.94 Typical High $18.20 | Professional | None | $4.47 | $7.94 | $18.20 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $23.99 | Facility | None | $7.94 | $7.94 | $23.99 |
United Setting Professional Modifier None Typical Low $3.31 Median $7.24 Typical High $18.62 | Professional | None | $3.31 | $7.24 | $18.62 |
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 $3.72 Median $3.72 Typical High $3.72 | Facility | 52 · Reduced service | $3.72 | $3.72 | $3.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | 53 · Discontinued | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.72 Typical High $4.68 | Professional | 52 · Reduced service | $3.72 | $3.72 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.91 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.91 |
Where Minnesota sits
The same service costs 4.1 times more in Kansas than in Maryland. 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
$7.94
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.