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 $10.47 Median $10.47 Typical High $134.90 | Facility | None | $10.47 | $10.47 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $13.49 | Professional | None | $10.23 | $10.47 | $13.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.47 Median $11.22 Typical High $89.13 | Facility | None | $10.47 | $11.22 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $11.22 | Professional | None | $8.91 | $10.00 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $35.48 Typical High $104.71 | Facility | None | $14.45 | $35.48 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $21.38 | Professional | None | $12.88 | $16.22 | $21.38 |
Health Partners Setting Facility Modifier None Typical Low $20.89 Median $34.67 Typical High $81.28 | Facility | None | $20.89 | $34.67 | $81.28 |
Health Partners Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $100.00 | Facility | None | $13.49 | $21.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $11.22 Typical High $25.70 | Professional | None | $6.31 | $11.22 | $25.70 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Facility | None | $11.22 | $11.22 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $10.23 Typical High $26.30 | Professional | None | $4.68 | $10.23 | $26.30 |
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 $5.25 Median $5.25 Typical High $5.25 | Facility | 52 · Reduced service | $5.25 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | 53 · Discontinued | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $6.76 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.69 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.69 |
Where Minnesota sits
The same service costs 3.5 times more in Kansas 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· 27th 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.