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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | None | $9.55 | $9.55 | $12.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.55 Median $10.00 Typical High $89.13 | Facility | None | $9.55 | $10.00 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $10.00 | Professional | None | $8.13 | $9.12 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $32.36 Typical High $93.33 | Facility | None | $12.02 | $32.36 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $19.50 | Professional | None | $11.75 | $14.79 | $19.50 |
Health Partners Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $74.13 | Facility | None | $19.05 | $31.62 | $74.13 |
Health Partners Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $19.50 | Professional | None | $11.48 | $11.48 | $19.50 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $85.11 | Facility | None | $12.02 | $18.62 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $9.12 Typical High $21.38 | Professional | None | $5.13 | $9.12 | $21.38 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $12.02 | Facility | None | $10.00 | $10.00 | $12.02 |
United Setting Professional Modifier None Typical Low $4.27 Median $9.33 Typical High $23.44 | Professional | None | $4.27 | $9.33 | $23.44 |
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 $4.79 Median $4.79 Typical High $4.79 | Facility | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.40 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.40 |
Where Minnesota sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$10.00
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.