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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.25 Median $5.50 Typical High $52.48 | Facility | None | $5.25 | $5.50 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $5.50 | Professional | None | $4.37 | $4.90 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $16.98 Typical High $50.12 | Facility | None | $7.08 | $16.98 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $10.47 | Professional | None | $6.31 | $7.94 | $10.47 |
Health Partners Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $39.81 | Facility | None | $10.23 | $16.98 | $39.81 |
Health Partners Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.23 | Professional | None | $6.17 | $6.17 | $10.23 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $10.23 Typical High $70.79 | Facility | None | $6.61 | $10.23 | $70.79 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $11.75 | Professional | None | $3.02 | $4.90 | $11.75 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Facility | None | $5.50 | $5.50 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $5.01 Typical High $12.88 | Professional | None | $2.29 | $5.01 | $12.88 |
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 $2.57 Median $2.57 Typical High $2.57 | Facility | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.02 | Facility | 53 · Discontinued | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $3.31 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.32 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.32 |
Where Minnesota sits
The same service costs 6.0 times more in Kansas 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· 25th of 51
$5.50
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.