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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | None | $23.44 | $23.44 | $30.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.99 Median $25.12 Typical High $60.26 | Facility | None | $23.99 | $25.12 | $60.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | None | $19.95 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $79.43 Typical High $234.42 | Facility | None | $30.20 | $79.43 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $48.98 | Professional | None | $29.51 | $36.31 | $48.98 |
Health Partners Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $186.21 | Facility | None | $47.86 | $77.62 | $186.21 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $47.86 | Professional | None | $28.84 | $28.84 | $47.86 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $120.23 | Facility | None | $25.12 | $46.77 | $120.23 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $22.91 Typical High $53.70 | Professional | None | $13.80 | $22.91 | $53.70 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $83.18 | Facility | None | $25.12 | $25.12 | $83.18 |
United Setting Professional Modifier None Typical Low $10.47 Median $23.44 Typical High $58.88 | Professional | None | $10.47 | $23.44 | $58.88 |
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 $11.75 Median $11.75 Typical High $11.75 | Facility | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | 52 · Reduced service | $11.75 | $11.75 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.03 |
Where Minnesota sits
The same service costs 3.5 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· 26th of 51
$25.12
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.