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 $9.12 Median $63.10 Typical High $117.49 | Facility | None | $9.12 | $63.10 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $15.49 | Professional | None | $8.91 | $9.12 | $15.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.12 Median $9.77 Typical High $89.13 | Facility | None | $9.12 | $9.77 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $9.77 | Professional | None | $7.76 | $8.71 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $91.20 | Facility | None | $12.59 | $30.90 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $18.62 | Professional | None | $11.22 | $14.13 | $18.62 |
Health Partners Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $70.79 | Facility | None | $18.20 | $30.20 | $70.79 |
Health Partners Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | None | $11.22 | $11.22 | $18.62 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $100.00 | Facility | None | $10.47 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $9.77 Typical High $25.70 | Professional | None | $5.75 | $9.77 | $25.70 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $23.99 | Facility | None | $9.77 | $9.77 | $23.99 |
United Setting Professional Modifier None Typical Low $4.07 Median $8.91 Typical High $22.91 | Professional | None | $4.07 | $8.91 | $22.91 |
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 $4.57 Median $4.57 Typical High $4.57 | Facility | 52 · Reduced service | $4.57 | $4.57 | $4.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Facility | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.34 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.34 |
Where Minnesota sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 17th of 51
$11.22
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.