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 $16.60 Median $74.13 Typical High $107.15 | Facility | None | $16.60 | $74.13 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $21.38 | Professional | None | $15.85 | $16.60 | $21.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16.60 Median $17.78 Typical High $46.77 | Facility | None | $16.60 | $17.78 | $46.77 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $17.78 | Professional | None | $14.13 | $15.85 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $57.54 Typical High $165.96 | Facility | None | $22.39 | $57.54 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $34.67 | Professional | None | $20.89 | $26.30 | $34.67 |
Health Partners Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $131.83 | Facility | None | $33.88 | $56.23 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $34.67 | Professional | None | $20.42 | $20.42 | $34.67 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $36.31 Typical High $95.50 | Facility | None | $21.38 | $36.31 | $95.50 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $38.02 | Professional | None | $9.77 | $15.85 | $38.02 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Facility | None | $17.78 | $17.78 | $21.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $16.22 Typical High $41.69 | Professional | None | $7.41 | $16.22 | $41.69 |
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 $8.32 Median $8.32 Typical High $8.32 | Facility | 52 · Reduced service | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Facility | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.27 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.27 |
Where Minnesota sits
The same service costs 3.1 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· 16th of 51
$20.89
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.