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 $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.62 | Professional | None | $4.37 | $4.37 | $5.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.47 Median $4.68 Typical High $67.61 | Facility | None | $4.47 | $4.68 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $4.68 | Professional | None | $3.72 | $4.27 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $14.79 Typical High $43.65 | Facility | None | $5.62 | $14.79 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $9.12 | Professional | None | $5.37 | $6.76 | $9.12 |
Health Partners Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $34.67 | Facility | None | $8.71 | $14.45 | $34.67 |
Health Partners Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.91 | Professional | None | $5.37 | $5.37 | $8.91 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $8.51 Typical High $100.00 | Facility | None | $4.68 | $8.51 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $10.00 | Professional | None | $2.45 | $4.27 | $10.00 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $12.02 | Facility | None | $4.68 | $4.68 | $12.02 |
United Setting Professional Modifier None Typical Low $1.95 Median $4.27 Typical High $10.96 | Professional | None | $1.95 | $4.27 | $10.96 |
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 $2.19 Median $2.19 Typical High $2.19 | Facility | 52 · Reduced service | $2.19 | $2.19 | $2.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Facility | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.82 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.12 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.12 |
Where Minnesota sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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
$4.68
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.