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 $4.79 Median $30.90 Typical High $51.29 | Facility | None | $4.79 | $30.90 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $7.59 | Professional | None | $4.37 | $4.79 | $7.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.79 Median $5.13 Typical High $52.48 | Facility | None | $4.79 | $5.13 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.07 Median $4.57 Typical High $5.13 | Professional | None | $4.07 | $4.57 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $15.85 Typical High $46.77 | Facility | None | $6.17 | $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 $6.17 Median $12.88 Typical High $100.00 | Facility | None | $6.17 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $5.13 Typical High $13.49 | Professional | None | $2.82 | $5.13 | $13.49 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $6.17 | Facility | None | $5.13 | $5.13 | $6.17 |
United Setting Professional Modifier None Typical Low $2.14 Median $4.68 Typical High $12.02 | Professional | None | $2.14 | $4.68 | $12.02 |
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 $2.40 Median $2.40 Typical High $2.40 | Facility | 52 · Reduced service | $2.40 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $0.95 | Facility | 53 · Discontinued | $0.95 | $0.95 | $0.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.40 Typical High $3.02 | Professional | 52 · Reduced service | $2.40 | $2.40 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.23 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.23 |
Where Minnesota sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 17th of 51
$5.75
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.