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 $34.67 Median $67.61 Typical High $97.72 | Facility | None | $34.67 | $67.61 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $29.51 | Professional | None | $13.49 | $13.49 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.80 Median $14.45 Typical High $70.79 | Facility | None | $13.80 | $14.45 | $70.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.45 | Professional | None | $11.48 | $12.88 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $45.71 Typical High $134.90 | Facility | None | $18.62 | $45.71 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $27.54 | Professional | None | $16.60 | $20.89 | $27.54 |
Health Partners Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $104.71 | Facility | None | $26.92 | $44.67 | $104.71 |
Health Partners Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $27.54 | Professional | None | $16.60 | $16.60 | $27.54 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $44.67 Typical High $107.15 | Facility | None | $22.91 | $44.67 | $107.15 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $42.66 | Professional | None | $8.71 | $17.38 | $42.66 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Facility | None | $14.45 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $13.18 Typical High $33.88 | Professional | None | $6.03 | $13.18 | $33.88 |
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 $6.76 Median $6.76 Typical High $6.76 | Facility | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.71 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.47 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.47 |
Where Minnesota sits
The same service costs 8.3 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· 2nd of 51
$45.71
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.