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 $12.88 Median $87.10 Typical High $229.09 | Facility | None | $12.88 | $87.10 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $22.39 | Professional | None | $12.59 | $12.88 | $22.39 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.18 Median $13.80 Typical High $37.15 | Facility | None | $13.18 | $13.80 | $37.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $13.80 | Professional | None | $10.96 | $12.59 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $44.67 Typical High $131.83 | Facility | None | $17.78 | $44.67 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $26.92 | Professional | None | $16.22 | $20.42 | $26.92 |
Health Partners Setting Facility Modifier None Typical Low $26.30 Median $43.65 Typical High $102.33 | Facility | None | $26.30 | $43.65 | $102.33 |
Health Partners Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $26.92 | Professional | None | $16.22 | $16.22 | $26.92 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $213.80 | Facility | None | $18.20 | $42.66 | $213.80 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $36.31 | Professional | None | $8.32 | $14.45 | $36.31 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $16.60 | Facility | None | $13.80 | $13.80 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $12.59 Typical High $32.36 | Professional | None | $5.75 | $12.59 | $32.36 |
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 $6.46 Median $6.46 Typical High $6.46 | Facility | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.31 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.31 |
Where Minnesota sits
The same service costs 28.8 times more in Vermont 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· 10th of 51
$20.42
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.