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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $18.20 | Professional | None | $13.80 | $14.13 | $18.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14.13 Median $15.14 Typical High $125.89 | Facility | None | $14.13 | $15.14 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $15.14 | Professional | None | $12.02 | $13.49 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $46.77 Typical High $138.04 | Facility | None | $19.50 | $46.77 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $28.84 | Professional | None | $16.98 | $21.38 | $28.84 |
Health Partners Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $107.15 | Facility | None | $27.54 | $45.71 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | None | $16.98 | $16.98 | $28.18 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $138.04 | Facility | None | $15.14 | $36.31 | $138.04 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $15.14 Typical High $39.81 | Professional | None | $8.51 | $15.14 | $39.81 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Facility | None | $15.14 | $15.14 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $13.80 Typical High $35.48 | Professional | None | $6.31 | $13.80 | $35.48 |
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 $7.08 Median $7.08 Typical High $7.08 | Facility | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 53 · Discontinued | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 52 · Reduced service | $7.08 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.63 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.63 |
Where Minnesota sits
The same service costs 4.3 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· 24th of 51
$15.14
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.