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 $18.62 Median $18.62 Typical High $537.03 | Facility | None | $18.62 | $18.62 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Professional | None | $16.60 | $18.62 | $23.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $18.62 Median $19.95 Typical High $89.13 | Facility | None | $18.62 | $19.95 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $19.95 | Professional | None | $15.85 | $17.78 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $63.10 Typical High $186.21 | Facility | None | $23.44 | $63.10 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $38.02 | Professional | None | $22.91 | $28.84 | $38.02 |
Health Partners Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $144.54 | Facility | None | $37.15 | $61.66 | $144.54 |
Health Partners Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | None | $22.91 | $22.91 | $38.02 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $36.31 Typical High $251.19 | Facility | None | $23.44 | $36.31 | $251.19 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $45.71 | Professional | None | $10.96 | $19.95 | $45.71 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Facility | None | $19.95 | $19.95 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $46.77 | Professional | None | $8.32 | $18.20 | $46.77 |
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 $9.33 Median $9.33 Typical High $9.33 | Facility | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.79 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.79 |
Where Minnesota sits
The same service costs 5.5 times more in Kansas than in Georgia. 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
$19.95
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.