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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $23.44 | Professional | None | $17.78 | $18.20 | $23.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $18.62 Median $19.50 Typical High $60.26 | Facility | None | $18.62 | $19.50 | $60.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $19.50 | Professional | None | $15.49 | $17.38 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $61.66 Typical High $181.97 | Facility | None | $25.12 | $61.66 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $37.15 | Professional | None | $22.39 | $28.18 | $37.15 |
Health Partners Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $141.25 | Facility | None | $36.31 | $60.26 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $37.15 | Professional | None | $22.39 | $22.39 | $37.15 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $35.48 Typical High $100.00 | Facility | None | $19.50 | $35.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $41.69 | Professional | None | $10.72 | $17.38 | $41.69 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $60.26 | Facility | None | $19.50 | $19.50 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $17.78 Typical High $45.71 | Professional | None | $8.13 | $17.78 | $45.71 |
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 $9.12 Median $9.12 Typical High $9.12 | Facility | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $11.75 | Professional | 52 · Reduced service | $9.12 | $9.12 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.68 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.68 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska 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· 24th of 51
$19.50
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.