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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $20.89 | Professional | None | $15.85 | $16.22 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $89.13 | Facility | None | $16.60 | $17.38 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $17.38 | Professional | None | $13.80 | $15.49 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $56.23 Typical High $165.96 | Facility | None | $22.39 | $56.23 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $33.88 | Professional | None | $20.42 | $25.70 | $33.88 |
Health Partners Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $128.82 | Facility | None | $33.11 | $54.95 | $128.82 |
Health Partners Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | None | $20.42 | $20.42 | $33.88 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $100.00 | Facility | None | $17.38 | $32.36 | $100.00 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $37.15 | Professional | None | $9.55 | $15.49 | $37.15 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Facility | None | $17.38 | $17.38 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $15.85 Typical High $40.74 | Professional | None | $7.24 | $15.85 | $40.74 |
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 $8.13 Median $8.13 Typical High $8.13 | Facility | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | 52 · Reduced service | $8.13 | $8.13 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.17 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.17 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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
$17.38
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.