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 $22.91 Median $22.91 Typical High $213.80 | Facility | None | $22.91 | $22.91 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | None | $22.91 | $22.91 | $32.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $22.91 Median $24.55 Typical High $125.89 | Facility | None | $22.91 | $24.55 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $24.55 | Professional | None | $19.50 | $21.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $77.62 Typical High $229.09 | Facility | None | $31.62 | $77.62 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $46.77 | Professional | None | $28.18 | $35.48 | $46.77 |
Health Partners Setting Facility Modifier None Typical Low $45.71 Median $75.86 Typical High $177.83 | Facility | None | $45.71 | $75.86 | $177.83 |
Health Partners Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $46.77 | Professional | None | $28.18 | $28.18 | $46.77 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $44.67 Typical High $144.54 | Facility | None | $24.55 | $44.67 | $144.54 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $52.48 | Professional | None | $13.49 | $21.88 | $52.48 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Facility | None | $24.55 | $24.55 | $29.51 |
United Setting Professional Modifier None Typical Low $10.23 Median $22.39 Typical High $57.54 | Professional | None | $10.23 | $22.39 | $57.54 |
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 $11.48 Median $11.48 Typical High $11.48 | Facility | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 52 · Reduced service | $11.48 | $11.48 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.89 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.89 |
Where Minnesota sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 27th of 51
$24.55
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.