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 $28.84 Median $63.10 Typical High $93.33 | Facility | None | $28.84 | $63.10 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $16.60 | Professional | None | $10.23 | $10.47 | $16.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.72 Median $11.22 Typical High $70.79 | Facility | None | $10.72 | $11.22 | $70.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $11.22 | Professional | None | $8.91 | $10.00 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $36.31 Typical High $107.15 | Facility | None | $14.45 | $36.31 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $22.39 | Professional | None | $13.49 | $16.60 | $22.39 |
Health Partners Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $85.11 | Facility | None | $21.88 | $35.48 | $85.11 |
Health Partners Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | None | $13.18 | $13.18 | $21.88 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $37.15 Typical High $112.20 | Facility | None | $14.45 | $37.15 | $112.20 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $72.44 | Professional | None | $6.76 | $13.49 | $72.44 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Facility | None | $11.22 | $11.22 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $10.23 Typical High $26.30 | Professional | None | $4.68 | $10.23 | $26.30 |
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 $5.25 Median $5.25 Typical High $5.25 | Facility | 52 · Reduced service | $5.25 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | 53 · Discontinued | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $6.76 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.69 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.69 |
Where Minnesota sits
The same service costs 8.3 times more in Vermont 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· 2nd of 51
$28.84
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.