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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $11.75 | Professional | None | $9.12 | $9.33 | $11.75 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.33 Median $9.77 Typical High $26.30 | Facility | None | $9.33 | $9.77 | $26.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $9.77 | Professional | None | $7.94 | $8.91 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $91.20 | Facility | None | $12.59 | $30.90 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $18.62 | Professional | None | $11.22 | $14.13 | $18.62 |
Health Partners Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $70.79 | Facility | None | $18.20 | $30.20 | $70.79 |
Health Partners Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | None | $11.22 | $11.22 | $18.62 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $120.23 | Facility | None | $11.75 | $19.05 | $120.23 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $22.39 | Professional | None | $5.62 | $9.77 | $22.39 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $33.11 | Facility | None | $9.77 | $9.77 | $33.11 |
United Setting Professional Modifier None Typical Low $4.17 Median $9.12 Typical High $22.91 | Professional | None | $4.17 | $9.12 | $22.91 |
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 $4.68 Median $4.68 Typical High $4.68 | Facility | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | 53 · Discontinued | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $5.89 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.34 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.34 |
Where Minnesota sits
The same service costs 4.1 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· 30th of 51
$9.77
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.