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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $22.39 | Professional | None | $17.38 | $17.78 | $22.39 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17.78 Median $18.62 Typical High $89.13 | Facility | None | $17.78 | $18.62 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $18.62 | Professional | None | $15.14 | $16.98 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $173.78 | Facility | None | $23.99 | $58.88 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $36.31 | Professional | None | $21.88 | $27.54 | $36.31 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $138.04 | Facility | None | $35.48 | $58.88 | $138.04 |
Health Partners Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | None | $21.38 | $21.38 | $35.48 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $100.00 | Facility | None | $22.39 | $38.02 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $42.66 | Professional | None | $10.72 | $18.62 | $42.66 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $52.48 | Facility | None | $18.62 | $18.62 | $52.48 |
United Setting Professional Modifier None Typical Low $7.94 Median $17.38 Typical High $43.65 | Professional | None | $7.94 | $17.38 | $43.65 |
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 $8.91 Median $8.91 Typical High $8.91 | Facility | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | 52 · Reduced service | $8.91 | $8.91 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.47 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.47 |
Where Minnesota sits
The same service costs 5.1 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· 26th of 51
$18.62
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.