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 $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $5.89 | Professional | None | $4.47 | $4.57 | $5.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.57 Median $4.90 Typical High $52.48 | Facility | None | $4.57 | $4.90 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $4.90 | Professional | None | $3.89 | $4.37 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $15.85 Typical High $46.77 | Facility | None | $6.31 | $15.85 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.77 | Professional | None | $5.89 | $7.41 | $9.77 |
Health Partners Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $37.15 | Facility | None | $9.55 | $15.85 | $37.15 |
Health Partners Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $9.55 | Professional | None | $5.75 | $5.75 | $9.55 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $8.91 Typical High $79.43 | Facility | None | $4.90 | $8.91 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $4.90 Typical High $11.22 | Professional | None | $2.75 | $4.90 | $11.22 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $5.89 | Facility | None | $4.90 | $4.90 | $5.89 |
United Setting Professional Modifier None Typical Low $2.04 Median $4.47 Typical High $11.48 | Professional | None | $2.04 | $4.47 | $11.48 |
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 $2.29 Median $2.29 Typical High $2.29 | Facility | 52 · Reduced service | $2.29 | $2.29 | $2.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $0.91 | Facility | 53 · Discontinued | $0.91 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.29 Typical High $2.95 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $1.17 | Professional | 53 · Discontinued | $0.91 | $0.91 | $1.17 |
Where Minnesota sits
The same service costs 3.8 times more in Kansas than in Nebraska. 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· 29th of 51
$4.90
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.