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 $32.36 Median $52.48 Typical High $69.18 | Facility | None | $32.36 | $52.48 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $25.12 | Professional | None | $11.48 | $11.75 | $25.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $91.20 | Facility | None | $11.75 | $12.30 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $12.30 | Professional | None | $10.00 | $11.22 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $38.90 Typical High $114.82 | Facility | None | $15.85 | $38.90 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $23.44 | Professional | None | $14.13 | $17.78 | $23.44 |
Health Partners Setting Facility Modifier None Typical Low $22.91 Median $38.02 Typical High $89.13 | Facility | None | $22.91 | $38.02 | $89.13 |
Health Partners Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $23.44 | Professional | None | $14.13 | $14.13 | $23.44 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $89.13 | Facility | None | $17.78 | $32.36 | $89.13 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $13.80 Typical High $56.23 | Professional | None | $7.41 | $13.80 | $56.23 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Facility | None | $12.30 | $12.30 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $11.48 Typical High $28.84 | Professional | None | $5.25 | $11.48 | $28.84 |
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 $5.89 Median $5.89 Typical High $5.89 | Facility | 52 · Reduced service | $5.89 | $5.89 | $5.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | 53 · Discontinued | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $5.89 Typical High $7.41 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.95 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.95 |
Where Minnesota sits
The same service costs 8.1 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· 3rd of 51
$29.51
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.