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 $28.84 Median $28.84 Typical High $141.25 | Facility | None | $28.84 | $28.84 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $53.70 | Professional | None | $28.18 | $28.84 | $53.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $29.51 Median $30.90 Typical High $107.15 | Facility | None | $29.51 | $30.90 | $107.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $30.90 | Professional | None | $24.55 | $28.18 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $288.40 | Facility | None | $39.81 | $97.72 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $60.26 | Professional | None | $35.48 | $44.67 | $60.26 |
Health Partners Setting Facility Modifier None Typical Low $57.54 Median $95.50 Typical High $229.09 | Facility | None | $57.54 | $95.50 | $229.09 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $58.88 | Professional | None | $35.48 | $35.48 | $58.88 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $218.78 | Facility | None | $37.15 | $61.66 | $218.78 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $70.79 | Professional | None | $17.78 | $30.90 | $70.79 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $104.71 | Facility | None | $30.90 | $30.90 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $28.18 Typical High $72.44 | Professional | None | $12.88 | $28.18 | $72.44 |
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 $14.45 Median $14.45 Typical High $14.45 | Facility | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.41 |
Where Minnesota sits
The same service costs 4.2 times more in Kansas than in Alabama. 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· 25th 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.