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 $17.38 Median $32.36 Typical High $120.23 | Facility | None | $17.38 | $32.36 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $32.36 | Professional | None | $16.98 | $17.38 | $32.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $89.13 | Facility | None | $17.38 | $18.20 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $18.20 | Professional | None | $14.79 | $16.60 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $169.82 | Facility | None | $23.44 | $58.88 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $35.48 | Professional | None | $21.38 | $26.92 | $35.48 |
Health Partners Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $134.90 | Facility | None | $34.67 | $57.54 | $134.90 |
Health Partners Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | None | $20.89 | $20.89 | $35.48 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $117.49 | Facility | None | $19.95 | $38.90 | $117.49 |
Medica Setting Professional Modifier None Typical Low $10.47 Median $18.20 Typical High $48.98 | Professional | None | $10.47 | $18.20 | $48.98 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Facility | None | $18.20 | $18.20 | $21.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $16.98 Typical High $42.66 | Professional | None | $7.76 | $16.98 | $42.66 |
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 $8.71 Median $8.71 Typical High $8.71 | Facility | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $10.96 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.37 |
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· 19th of 51
$20.89
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.