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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | None | $15.49 | $15.49 | $19.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15.49 Median $16.22 Typical High $67.61 | Facility | None | $15.49 | $16.22 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $16.22 | Professional | None | $13.18 | $14.79 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $51.29 Typical High $151.36 | Facility | None | $19.50 | $51.29 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $31.62 | Professional | None | $18.62 | $23.44 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $120.23 | Facility | None | $30.20 | $50.12 | $120.23 |
Health Partners Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $30.90 | Professional | None | $18.62 | $18.62 | $30.90 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $25.70 Typical High $100.00 | Facility | None | $7.24 | $25.70 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $9.77 Typical High $34.67 | Professional | None | $2.51 | $9.77 | $34.67 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.22 Typical High $19.50 | Facility | None | $15.14 | $16.22 | $19.50 |
United Setting Professional Modifier None Typical Low $2.51 Median $9.77 Typical High $38.02 | Professional | None | $2.51 | $9.77 | $38.02 |
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 $7.59 Median $7.59 Typical High $7.59 | Facility | 52 · Reduced service | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $9.77 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.89 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.89 |
Where Minnesota sits
The same service costs 8.9 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· 10th of 51
$16.22
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.