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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $7.76 | Professional | None | $6.03 | $6.17 | $7.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.17 Median $6.46 Typical High $17.78 | Facility | None | $6.17 | $6.46 | $17.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $6.46 | Professional | None | $5.25 | $5.89 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $60.26 | Facility | None | $8.32 | $20.42 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $12.59 | Professional | None | $7.59 | $9.33 | $12.59 |
Health Partners Setting Facility Modifier None Typical Low $12.30 Median $19.95 Typical High $47.86 | Facility | None | $12.30 | $19.95 | $47.86 |
Health Partners Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $12.30 | Professional | None | $7.41 | $7.41 | $12.30 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $12.02 Typical High $112.20 | Facility | None | $6.46 | $12.02 | $112.20 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $6.46 Typical High $15.14 | Professional | None | $3.72 | $6.46 | $15.14 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $7.76 | Facility | None | $6.46 | $6.46 | $7.76 |
United Setting Professional Modifier None Typical Low $2.75 Median $6.03 Typical High $15.14 | Professional | None | $2.75 | $6.03 | $15.14 |
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 $3.09 Median $3.09 Typical High $3.09 | Facility | 52 · Reduced service | $3.09 | $3.09 | $3.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | 53 · Discontinued | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.09 Typical High $3.89 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.58 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.58 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 25th of 51
$6.46
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.