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 $13.49 Median $13.49 Typical High $52.48 | Facility | None | $13.49 | $13.49 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $17.38 | Professional | None | $11.22 | $13.49 | $17.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.80 Median $14.45 Typical High $67.61 | Facility | None | $13.80 | $14.45 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.45 | Professional | None | $11.48 | $12.88 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $46.77 Typical High $138.04 | Facility | None | $17.78 | $46.77 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $28.84 | Professional | None | $16.98 | $21.38 | $28.84 |
Health Partners Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $107.15 | Facility | None | $27.54 | $45.71 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | None | $16.98 | $16.98 | $28.18 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $85.11 | Facility | None | $16.60 | $26.92 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $30.90 | Professional | None | $5.89 | $11.75 | $30.90 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Facility | None | $14.45 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $5.89 Median $12.88 Typical High $33.88 | Professional | None | $5.89 | $12.88 | $33.88 |
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 $6.76 Median $6.76 Typical High $6.76 | Facility | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.71 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.47 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.47 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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· 19th of 51
$14.45
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.