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 $10.96 Median $25.12 Typical High $144.54 | Facility | None | $10.96 | $25.12 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | None | $10.96 | $10.96 | $14.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.22 Median $11.75 Typical High $69.18 | Facility | None | $11.22 | $11.75 | $69.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $11.75 | Professional | None | $9.33 | $10.47 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $36.31 Typical High $107.15 | Facility | None | $13.80 | $36.31 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $22.39 | Professional | None | $13.49 | $16.60 | $22.39 |
Health Partners Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $85.11 | Facility | None | $21.88 | $35.48 | $85.11 |
Health Partners Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | None | $13.18 | $13.18 | $21.88 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $100.00 | Facility | None | $14.13 | $19.95 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $10.00 Typical High $25.12 | Professional | None | $5.37 | $10.00 | $25.12 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $18.20 | Facility | None | $11.75 | $11.75 | $18.20 |
United Setting Professional Modifier None Typical Low $4.90 Median $10.47 Typical High $27.54 | Professional | None | $4.90 | $10.47 | $27.54 |
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 $5.50 Median $5.50 Typical High $5.50 | Facility | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.82 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.82 |
Where Minnesota sits
The same service costs 3.4 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· 15th of 51
$13.18
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.