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 $11.22 Median $47.86 Typical High $64.57 | Facility | None | $11.22 | $47.86 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | None | $11.22 | $11.22 | $16.22 |
BCBS Minnesota Setting Facility Modifier None Typical Low $26.30 Median $64.57 Typical High $158.49 | Facility | None | $26.30 | $64.57 | $158.49 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $11.48 Median $15.49 Typical High $27.54 | Professional | 52 · Reduced service + 53 · Discontinued | $11.48 | $15.49 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $58.88 Typical High $173.78 | Facility | None | $22.39 | $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 $16.98 Median $28.84 Typical High $134.90 | Facility | None | $16.98 | $28.84 | $134.90 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $12.02 Typical High $28.18 | Professional | None | $6.61 | $12.02 | $28.18 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $36.31 | Facility | None | $12.02 | $12.02 | $36.31 |
United Setting Professional Modifier None Typical Low $5.01 Median $12.02 Typical High $28.18 | Professional | None | $5.01 | $12.02 | $28.18 |
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 $5.62 Median $5.62 Typical High $5.62 | Facility | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $7.24 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.88 |
Where Minnesota sits
The same service costs 3.9 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· 5th of 51
$22.91
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.