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 $18.62 Median $39.81 Typical High $85.11 | Facility | None | $18.62 | $39.81 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $9.55 | Professional | None | $4.47 | $4.47 | $9.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.47 Median $4.79 Typical High $61.66 | Facility | None | $4.47 | $4.79 | $61.66 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.79 | Professional | None | $3.80 | $4.27 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $15.85 Typical High $46.77 | Facility | None | $6.17 | $15.85 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.77 | Professional | None | $5.89 | $7.41 | $9.77 |
Health Partners Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $37.15 | Facility | None | $9.55 | $15.85 | $37.15 |
Health Partners Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $9.55 | Professional | None | $5.75 | $5.75 | $9.55 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $31.62 Typical High $75.86 | Facility | None | $7.59 | $31.62 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $5.75 Typical High $26.92 | Professional | None | $2.82 | $5.75 | $26.92 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.79 Typical High $10.47 | Facility | None | $1.38 | $4.79 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.37 Typical High $11.22 | Professional | None | $2.00 | $4.37 | $11.22 |
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 $2.24 Median $2.24 Typical High $2.24 | Facility | 52 · Reduced service | $2.24 | $2.24 | $2.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | 53 · Discontinued | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.24 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.12 |
Where Minnesota sits
The same service costs 11.7 times more in Vermont 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· 2nd of 51
$31.62
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.