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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $40.74 | Professional | None | $30.90 | $31.62 | $40.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $32.36 Median $33.88 Typical High $134.90 | Facility | None | $32.36 | $33.88 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | None | $26.92 | $30.90 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $109.65 Typical High $316.23 | Facility | None | $43.65 | $109.65 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $66.07 | Professional | None | $39.81 | $50.12 | $66.07 |
Health Partners Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $251.19 | Facility | None | $64.57 | $107.15 | $251.19 |
Health Partners Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | None | $38.90 | $38.90 | $66.07 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $173.78 | Facility | None | $40.74 | $66.07 | $173.78 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $72.44 | Professional | None | $19.50 | $33.88 | $72.44 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $40.74 | Facility | None | $33.88 | $33.88 | $40.74 |
United Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $79.43 | Professional | None | $14.13 | $30.90 | $79.43 |
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 $15.85 Median $15.85 Typical High $15.85 | Facility | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $6.31 | $8.13 |
Where Minnesota sits
The same service costs 4.4 times more in Kansas 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· 25th of 51
$33.88
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.