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 $35.48 Median $35.48 Typical High $933.25 | Facility | None | $35.48 | $35.48 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $45.71 | Professional | None | $19.50 | $35.48 | $45.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $38.02 | Facility | None | $33.88 | $38.02 | $38.02 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $38.02 | Professional | None | $30.20 | $33.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $120.23 Typical High $354.81 | Facility | None | $44.67 | $120.23 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $72.44 | Professional | None | $43.65 | $54.95 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $70.79 Median $117.49 Typical High $275.42 | Facility | None | $70.79 | $117.49 | $275.42 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $177.83 | Facility | None | $38.02 | $69.18 | $177.83 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $13.49 Typical High $45.71 | Professional | None | $6.17 | $13.49 | $45.71 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $45.71 | Facility | None | $38.02 | $38.02 | $45.71 |
United Setting Professional Modifier None Typical Low $6.17 Median $14.13 Typical High $38.02 | Professional | None | $6.17 | $14.13 | $38.02 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 52 · Reduced service | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $7.08 | $9.12 |
Where Minnesota sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 9th of 51
$38.02
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.