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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.55 Typical High $16.98 | Professional | None | $9.33 | $9.55 | $16.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $125.89 | Facility | None | $9.77 | $10.23 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $10.23 | Professional | None | $8.13 | $9.12 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $32.36 Typical High $93.33 | Facility | None | $13.18 | $32.36 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $19.50 | Professional | None | $11.75 | $14.79 | $19.50 |
Health Partners Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $74.13 | Facility | None | $19.05 | $31.62 | $74.13 |
Health Partners Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $19.50 | Professional | None | $11.48 | $11.48 | $19.50 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $20.42 Typical High $72.44 | Facility | None | $10.23 | $20.42 | $72.44 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $23.44 | Professional | None | $5.62 | $10.23 | $23.44 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $12.30 | Facility | None | $10.23 | $10.23 | $12.30 |
United Setting Professional Modifier None Typical Low $4.27 Median $9.33 Typical High $23.99 | Professional | None | $4.27 | $9.33 | $23.99 |
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 $4.79 Median $4.79 Typical High $4.79 | Facility | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $6.17 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.45 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.45 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska 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
$10.23
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.