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 $44.67 Median $64.57 Typical High $218.78 | Facility | None | $44.67 | $64.57 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $43.65 | Professional | None | $19.50 | $19.50 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.95 Median $20.89 Typical High $69.18 | Facility | None | $19.95 | $20.89 | $69.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $20.89 | Professional | None | $16.60 | $18.62 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $194.98 | Facility | None | $26.92 | $66.07 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $40.74 | Professional | None | $23.99 | $30.20 | $40.74 |
Health Partners Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $154.88 | Facility | None | $38.90 | $64.57 | $154.88 |
Health Partners Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | None | $23.99 | $23.99 | $39.81 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $56.23 Typical High $151.36 | Facility | None | $33.11 | $56.23 | $151.36 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $23.44 Typical High $54.95 | Professional | None | $12.59 | $23.44 | $54.95 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $112.20 | Facility | None | $20.89 | $20.89 | $112.20 |
United Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $48.98 | Professional | None | $8.71 | $19.05 | $48.98 |
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 $9.77 Median $9.77 Typical High $9.77 | Facility | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $12.59 | Professional | 52 · Reduced service | $9.77 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.01 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.01 |
Where Minnesota sits
The same service costs 7.9 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· 3rd of 51
$50.12
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.