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 $12.30 Median $37.15 Typical High $89.13 | Facility | None | $12.30 | $37.15 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $18.20 | Professional | None | $12.02 | $12.30 | $18.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $13.18 Typical High $125.89 | Facility | None | $12.59 | $13.18 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $13.18 | Professional | None | $10.47 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $42.66 Typical High $123.03 | Facility | None | $16.98 | $42.66 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $25.70 | Professional | None | $15.49 | $19.50 | $25.70 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $97.72 | Facility | None | $25.12 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $39.81 Typical High $102.33 | Facility | None | $16.60 | $39.81 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $58.88 | Professional | None | $7.94 | $14.79 | $58.88 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Facility | None | $13.18 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $12.02 Typical High $30.90 | Professional | None | $5.50 | $12.02 | $30.90 |
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 $6.17 Median $6.17 Typical High $6.17 | Facility | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $7.94 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.16 |
Where Minnesota sits
The same service costs 9.1 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· 10th of 51
$19.50
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.