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 $4.17 Median $37.15 Typical High $117.49 | Facility | None | $4.17 | $37.15 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.17 Typical High $5.75 | Professional | None | $4.07 | $4.17 | $5.75 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.17 Median $4.37 Typical High $91.20 | Facility | None | $4.17 | $4.37 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $4.37 | Professional | None | $3.55 | $3.98 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $14.79 Typical High $43.65 | Facility | None | $5.62 | $14.79 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $9.12 | Professional | None | $5.37 | $6.76 | $9.12 |
Health Partners Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $34.67 | Facility | None | $8.71 | $14.45 | $34.67 |
Health Partners Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.91 | Professional | None | $5.37 | $5.37 | $8.91 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $10.00 Typical High $100.00 | Facility | None | $5.25 | $10.00 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.37 Typical High $11.48 | Professional | None | $2.51 | $4.37 | $11.48 |
United Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $15.14 | Facility | None | $4.37 | $4.37 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $4.07 Typical High $10.23 | Professional | None | $1.86 | $4.07 | $10.23 |
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 $2.04 Median $2.04 Typical High $2.04 | Facility | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $0.83 | Facility | 53 · Discontinued | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.63 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.07 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.07 |
Where Minnesota sits
The same service costs 4.2 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· 15th of 51
$5.37
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.