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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | None | $8.32 | $8.32 | $10.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.32 Median $8.91 Typical High $89.13 | Facility | None | $8.32 | $8.91 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.08 Median $7.94 Typical High $8.91 | Professional | None | $7.08 | $7.94 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $27.54 Typical High $81.28 | Facility | None | $11.48 | $27.54 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $16.60 | Professional | None | $10.00 | $12.59 | $16.60 |
Health Partners Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $63.10 | Facility | None | $16.22 | $26.92 | $63.10 |
Health Partners Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $16.60 | Professional | None | $10.00 | $10.00 | $16.60 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $16.22 Typical High $100.00 | Facility | None | $8.91 | $16.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $19.05 | Professional | None | $4.90 | $7.94 | $19.05 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $30.20 | Facility | None | $8.91 | $8.91 | $30.20 |
United Setting Professional Modifier None Typical Low $3.72 Median $8.13 Typical High $20.89 | Professional | None | $3.72 | $8.13 | $20.89 |
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 $4.17 Median $4.17 Typical High $4.17 | Facility | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Facility | 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.14 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.14 |
Where Minnesota sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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
$8.91
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.