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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.13 | Professional | None | $6.46 | $6.46 | $8.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.46 Median $6.92 Typical High $67.61 | Facility | None | $6.46 | $6.92 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $6.92 | Professional | None | $5.50 | $6.17 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $21.88 Typical High $63.10 | Facility | None | $8.71 | $21.88 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $13.18 | Professional | None | $7.94 | $10.00 | $13.18 |
Health Partners Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $50.12 | Facility | None | $12.88 | $21.38 | $50.12 |
Health Partners Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $13.18 | Professional | None | $7.76 | $7.76 | $13.18 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $12.59 Typical High $100.00 | Facility | None | $6.92 | $12.59 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $6.17 Typical High $14.45 | Professional | None | $3.80 | $6.17 | $14.45 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $23.99 | Facility | None | $6.92 | $6.92 | $23.99 |
United Setting Professional Modifier None Typical Low $2.88 Median $6.31 Typical High $16.22 | Professional | None | $2.88 | $6.31 | $16.22 |
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 $3.24 Median $3.24 Typical High $3.24 | Facility | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.24 Typical High $4.07 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.62 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.62 |
Where Minnesota sits
The same service costs 4.2 times more in Kansas 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
$6.92
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.