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 $23.99 Median $61.66 Typical High $123.03 | Facility | None | $23.99 | $61.66 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $16.60 | Professional | None | $6.31 | $6.31 | $16.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.31 Median $6.76 Typical High $40.74 | Facility | None | $6.31 | $6.76 | $40.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $6.76 | Professional | None | $5.37 | $6.03 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $21.88 Typical High $63.10 | Facility | None | $8.71 | $21.88 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $13.18 | Professional | None | $7.94 | $10.00 | $13.18 |
Health Partners Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $50.12 | Facility | None | $12.88 | $21.38 | $50.12 |
Health Partners Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $13.18 | Professional | None | $7.76 | $7.76 | $13.18 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $44.67 Typical High $100.00 | Facility | None | $13.80 | $44.67 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $41.69 | Professional | None | $3.98 | $7.94 | $41.69 |
United Setting Facility Modifier None Typical Low $2.24 Median $6.76 Typical High $20.89 | Facility | None | $2.24 | $6.76 | $20.89 |
United Setting Professional Modifier None Typical Low $2.82 Median $6.17 Typical High $15.85 | Professional | None | $2.82 | $6.17 | $15.85 |
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 $3.16 Median $3.16 Typical High $3.16 | Facility | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.62 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.62 |
Where Minnesota sits
The same service costs 10.0 times more in Minnesota than in Maryland. 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· 1st of 51
$51.29
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.