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 $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $8.32 | Professional | None | $4.90 | $6.61 | $8.32 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.61 Median $7.08 Typical High $16.98 | Facility | None | $6.61 | $7.08 | $16.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.62 Median $6.31 Typical High $7.08 | Professional | None | $5.62 | $6.31 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $22.91 Typical High $67.61 | Facility | None | $8.51 | $22.91 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $13.80 | Professional | None | $8.32 | $10.47 | $13.80 |
Health Partners Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $52.48 | Facility | None | $13.49 | $22.39 | $52.48 |
Health Partners Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.80 | Professional | None | $8.32 | $8.32 | $13.80 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $11.22 Typical High $60.26 | Facility | None | $4.90 | $11.22 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $4.90 Typical High $14.79 | Professional | None | $2.57 | $4.90 | $14.79 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Facility | None | $7.08 | $7.08 | $8.32 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.90 Typical High $16.60 | Professional | None | $2.57 | $4.90 | $16.60 |
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 $3.31 Median $3.31 Typical High $3.31 | Facility | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Facility | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.70 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.70 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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
$7.08
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.