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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | None | $21.38 | $21.38 | $27.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $89.13 | Facility | None | $21.88 | $22.91 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $22.91 | Professional | None | $18.20 | $20.89 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $213.80 | Facility | None | $27.54 | $72.44 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $44.67 | Professional | None | $26.92 | $33.88 | $44.67 |
Health Partners Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $169.82 | Facility | None | $43.65 | $72.44 | $169.82 |
Health Partners Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $43.65 | Professional | None | $26.30 | $26.30 | $43.65 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $36.31 Typical High $117.49 | Facility | None | $22.91 | $36.31 | $117.49 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $48.98 | Professional | None | $11.48 | $20.89 | $48.98 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Facility | None | $22.91 | $22.91 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $20.89 Typical High $53.70 | Professional | None | $9.55 | $20.89 | $53.70 |
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 $10.72 Median $10.72 Typical High $10.72 | Facility | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.50 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.50 |
Where Minnesota sits
The same service costs 11.2 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· 19th of 51
$22.91
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.