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 $8.51 Median $8.51 Typical High $75.86 | Facility | None | $8.51 | $8.51 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $10.96 | Professional | None | $8.13 | $8.51 | $10.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.71 Median $9.12 Typical High $23.99 | Facility | None | $8.71 | $9.12 | $23.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $9.12 | Professional | None | $7.24 | $8.13 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $28.84 Typical High $83.18 | Facility | None | $11.48 | $28.84 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $17.38 | Professional | None | $10.47 | $13.18 | $17.38 |
Health Partners Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $66.07 | Facility | None | $16.98 | $28.18 | $66.07 |
Health Partners Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $17.38 | Professional | None | $10.23 | $10.23 | $17.38 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $18.20 Typical High $100.00 | Facility | None | $10.96 | $18.20 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $23.99 | Professional | None | $5.01 | $9.12 | $23.99 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $30.20 | Facility | None | $9.12 | $9.12 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $8.32 Typical High $21.38 | Professional | None | $3.80 | $8.32 | $21.38 |
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 $4.27 Median $4.27 Typical High $4.27 | Facility | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $5.50 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.19 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.19 |
Where Minnesota sits
The same service costs 5.9 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· 26th of 51
$9.12
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.