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 $10.96 Median $61.66 Typical High $131.83 | Facility | None | $10.96 | $61.66 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $22.91 | Professional | None | $10.72 | $10.72 | $22.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.72 Median $11.48 Typical High $46.77 | Facility | None | $10.72 | $11.48 | $46.77 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | None | $9.12 | $10.23 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $36.31 Typical High $107.15 | Facility | None | $14.79 | $36.31 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $22.39 | Professional | None | $13.49 | $16.60 | $22.39 |
Health Partners Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $85.11 | Facility | None | $21.88 | $35.48 | $85.11 |
Health Partners Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | None | $13.18 | $13.18 | $21.88 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $30.90 Typical High $104.71 | Facility | None | $16.60 | $30.90 | $104.71 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $93.33 | Professional | None | $6.46 | $12.88 | $93.33 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $37.15 | Facility | None | $11.48 | $11.48 | $37.15 |
United Setting Professional Modifier None Typical Low $4.79 Median $10.47 Typical High $26.92 | Professional | None | $4.79 | $10.47 | $26.92 |
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 $5.37 Median $5.37 Typical High $5.37 | Facility | 52 · Reduced service | $5.37 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | 53 · Discontinued | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.75 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.75 |
Where Minnesota sits
The same service costs 15.1 times more in Vermont than in Maryland. 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
$26.30
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.