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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None | $20.89 | $20.89 | $26.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.89 Median $21.88 Typical High $89.13 | Facility | None | $20.89 | $21.88 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $21.88 | Professional | None | $17.78 | $19.95 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $204.17 | Facility | None | $28.18 | $69.18 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $42.66 | Professional | None | $25.70 | $32.36 | $42.66 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $162.18 | Facility | None | $41.69 | $67.61 | $162.18 |
Health Partners Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $41.69 | Professional | None | $25.12 | $25.12 | $41.69 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $199.53 | Facility | None | $21.88 | $40.74 | $199.53 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $46.77 | Professional | None | $12.02 | $19.95 | $46.77 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $75.86 | Facility | None | $21.88 | $21.88 | $75.86 |
United Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $51.29 | Professional | None | $9.33 | $20.42 | $51.29 |
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 $10.23 Median $10.23 Typical High $10.23 | Facility | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $10.23 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.25 |
Where Minnesota sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 25th of 51
$21.88
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.