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 $13.80 Median $69.18 Typical High $120.23 | Facility | None | $13.80 | $69.18 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $29.51 | Professional | None | $13.49 | $13.80 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.80 Median $14.45 Typical High $89.13 | Facility | None | $13.80 | $14.45 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $14.45 | Professional | None | $11.75 | $13.18 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $46.77 Typical High $138.04 | Facility | None | $18.62 | $46.77 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $28.84 | Professional | None | $16.98 | $21.38 | $28.84 |
Health Partners Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $107.15 | Facility | None | $27.54 | $45.71 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | None | $16.98 | $16.98 | $28.18 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $38.02 Typical High $93.33 | Facility | None | $18.20 | $38.02 | $93.33 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $38.90 | Professional | None | $7.24 | $14.45 | $38.90 |
United Setting Facility Modifier None Typical Low $5.13 Median $14.45 Typical High $17.38 | Facility | None | $5.13 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $12.59 Typical High $33.88 | Professional | None | $6.17 | $12.59 | $33.88 |
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 $6.92 Median $6.92 Typical High $6.92 | Facility | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | 53 · Discontinued | $2.75 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.47 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.47 |
Where Minnesota sits
The same service costs 8.1 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· 11th of 51
$18.62
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.