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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $14.79 | Professional | None | $11.22 | $11.48 | $14.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $89.13 | Facility | None | $11.75 | $12.30 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $12.30 | Professional | None | $9.77 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $38.90 Typical High $114.82 | Facility | None | $15.85 | $38.90 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $23.44 | Professional | None | $14.13 | $17.78 | $23.44 |
Health Partners Setting Facility Modifier None Typical Low $22.91 Median $38.02 Typical High $89.13 | Facility | None | $22.91 | $38.02 | $89.13 |
Health Partners Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $23.44 | Professional | None | $14.13 | $14.13 | $23.44 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $22.91 Typical High $100.00 | Facility | None | $12.30 | $22.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $26.30 | Professional | None | $6.76 | $10.96 | $26.30 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $34.67 | Facility | None | $12.30 | $12.30 | $34.67 |
United Setting Professional Modifier None Typical Low $5.13 Median $11.22 Typical High $28.84 | Professional | None | $5.13 | $11.22 | $28.84 |
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 $5.75 Median $5.75 Typical High $5.75 | Facility | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.95 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.95 |
Where Minnesota sits
The same service costs 3.2 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
$12.30
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.