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 $9.77 Median $48.98 Typical High $97.72 | Facility | None | $9.77 | $48.98 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | None | $3.55 | $3.55 | $4.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.63 Median $3.80 Typical High $9.33 | Facility | None | $3.63 | $3.80 | $9.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.80 | Professional | None | $3.02 | $3.39 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $12.59 Typical High $37.15 | Facility | None | $4.68 | $12.59 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $7.59 | Professional | None | $4.57 | $5.75 | $7.59 |
Health Partners Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $28.84 | Facility | None | $7.41 | $12.30 | $28.84 |
Health Partners Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $33.88 Typical High $83.18 | Facility | None | $7.08 | $33.88 | $83.18 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $3.80 Typical High $10.00 | Professional | None | $2.09 | $3.80 | $10.00 |
United Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $7.59 | Facility | None | $3.80 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $3.47 Typical High $8.91 | Professional | None | $1.58 | $3.47 | $8.91 |
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 $1.78 Median $1.78 Typical High $1.78 | Facility | 52 · Reduced service | $1.78 | $1.78 | $1.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.71 | Facility | 53 · Discontinued | $0.71 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $2.29 | Professional | 52 · Reduced service | $1.78 | $1.78 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.91 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.91 |
Where Minnesota sits
The same service costs 11.7 times more in Minnesota 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· 1st of 51
$28.84
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.