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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | None | $5.37 | $5.37 | $6.92 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.50 Median $5.75 Typical High $91.20 | Facility | None | $5.50 | $5.75 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.57 Median $5.25 Typical High $5.75 | Professional | None | $4.57 | $5.25 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $18.20 Typical High $53.70 | Facility | None | $7.41 | $18.20 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $11.22 | Professional | None | $6.61 | $8.32 | $11.22 |
Health Partners Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $42.66 | Facility | None | $10.72 | $17.78 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.96 | Professional | None | $6.61 | $6.61 | $10.96 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $10.72 Typical High $100.00 | Facility | None | $5.75 | $10.72 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $12.30 | Professional | None | $3.16 | $5.25 | $12.30 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $6.92 | Facility | None | $5.75 | $5.75 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $5.37 Typical High $13.49 | Professional | None | $2.40 | $5.37 | $13.49 |
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 $2.69 Median $2.69 Typical High $2.69 | Facility | 52 · Reduced service | $2.69 | $2.69 | $2.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Facility | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.69 Median $2.69 Typical High $3.47 | Professional | 52 · Reduced service | $2.69 | $2.69 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.38 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.38 |
Where Minnesota sits
The same service costs 4.0 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· 28th of 51
$5.75
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.