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 $25.70 Median $81.28 Typical High $234.42 | Facility | None | $25.70 | $81.28 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $52.48 | Professional | None | $23.99 | $23.99 | $52.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $107.15 | Facility | None | $24.55 | $25.70 | $107.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $20.42 Median $23.44 Typical High $25.70 | Professional | None | $20.42 | $23.44 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $83.18 Typical High $239.88 | Facility | None | $33.11 | $83.18 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $50.12 | Professional | None | $30.20 | $38.02 | $50.12 |
Health Partners Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $190.55 | Facility | None | $48.98 | $81.28 | $190.55 |
Health Partners Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $50.12 | Professional | None | $29.51 | $29.51 | $50.12 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $69.18 Typical High $169.82 | Facility | None | $37.15 | $69.18 | $169.82 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $154.88 | Professional | None | $15.49 | $30.90 | $154.88 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $104.71 | Facility | None | $25.70 | $25.70 | $104.71 |
United Setting Professional Modifier None Typical Low $10.96 Median $23.99 Typical High $60.26 | Professional | None | $10.96 | $23.99 | $60.26 |
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 $12.02 Median $12.02 Typical High $12.02 | Facility | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
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 $12.02 Median $12.02 Typical High $15.49 | Professional | 52 · Reduced service | $12.02 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.17 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.17 |
Where Minnesota sits
The same service costs 7.4 times more in Vermont 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· 3rd of 51
$64.57
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.