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 $30.20 Median $128.82 Typical High $380.19 | Facility | None | $30.20 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | None | $30.20 | $30.20 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $134.90 | Facility | None | $30.90 | $32.36 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $32.36 | Professional | None | $25.70 | $28.84 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $102.33 Typical High $302.00 | Facility | None | $41.69 | $102.33 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $63.10 | Professional | None | $37.15 | $46.77 | $63.10 |
Health Partners Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $239.88 | Facility | None | $60.26 | $100.00 | $239.88 |
Health Partners Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | None | $37.15 | $37.15 | $61.66 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $275.42 | Facility | None | $40.74 | $77.62 | $275.42 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $85.11 | Professional | None | $19.50 | $32.36 | $85.11 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $97.72 | Facility | None | $32.36 | $32.36 | $97.72 |
United Setting Professional Modifier None Typical Low $13.49 Median $29.51 Typical High $75.86 | Professional | None | $13.49 | $29.51 | $75.86 |
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 $15.14 Median $15.14 Typical High $15.14 | Facility | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 52 · Reduced service | $15.14 | $15.14 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $6.03 | $7.76 |
Where Minnesota sits
The same service costs 4.1 times more in Kansas 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· 13th of 51
$39.81
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.