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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | None | $11.75 | $11.75 | $15.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.02 Median $12.59 Typical High $125.89 | Facility | None | $12.02 | $12.59 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $12.59 | Professional | None | $10.00 | $11.22 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $39.81 Typical High $117.49 | Facility | None | $16.22 | $39.81 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $24.55 | Professional | None | $14.45 | $18.20 | $24.55 |
Health Partners Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $93.33 | Facility | None | $23.44 | $38.90 | $93.33 |
Health Partners Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | None | $14.45 | $14.45 | $23.99 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $97.72 | Facility | None | $12.59 | $23.44 | $97.72 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $11.22 Typical High $33.11 | Professional | None | $6.31 | $11.22 | $33.11 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Facility | None | $12.59 | $12.59 | $15.14 |
United Setting Professional Modifier None Typical Low $5.25 Median $11.22 Typical High $29.51 | Professional | None | $5.25 | $11.22 | $29.51 |
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 $7.59 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $3.02 | Professional | 53 · Discontinued | $2.34 | $2.34 | $3.02 |
Where Minnesota sits
The same service costs 3.5 times more in South Carolina 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· 25th of 51
$12.59
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.