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 $14.45 Median $61.66 Typical High $154.88 | Facility | None | $14.45 | $61.66 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $26.92 | Professional | None | $14.13 | $14.45 | $26.92 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $134.90 | Facility | None | $14.79 | $15.49 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $15.49 | Professional | None | $12.30 | $13.80 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $48.98 Typical High $144.54 | Facility | None | $19.95 | $48.98 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $30.20 | Professional | None | $17.78 | $22.39 | $30.20 |
Health Partners Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $114.82 | Facility | None | $28.84 | $47.86 | $114.82 |
Health Partners Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $29.51 | Professional | None | $17.78 | $17.78 | $29.51 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $30.20 Typical High $100.00 | Facility | None | $18.62 | $30.20 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $35.48 | Professional | None | $8.91 | $15.49 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $18.62 | Facility | None | $15.49 | $15.49 | $18.62 |
United Setting Professional Modifier None Typical Low $6.46 Median $14.13 Typical High $36.31 | Professional | None | $6.46 | $14.13 | $36.31 |
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 $7.24 Median $7.24 Typical High $7.24 | Facility | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | 52 · Reduced service | $7.24 | $7.24 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.72 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.72 |
Where Minnesota sits
The same service costs 6.8 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· 16th of 51
$17.78
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.