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 $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | None | $34.67 | $34.67 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $309.03 | Facility | None | $34.67 | $36.31 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $36.31 | Professional | None | $29.51 | $33.11 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $117.49 Typical High $338.84 | Facility | None | $53.70 | $117.49 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $70.79 | Professional | None | $42.66 | $53.70 | $70.79 |
Health Partners Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $269.15 | Facility | None | $69.18 | $114.82 | $269.15 |
Health Partners Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | None | $41.69 | $41.69 | $70.79 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $67.61 Typical High $346.74 | Facility | None | $36.31 | $67.61 | $346.74 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $95.50 | Professional | None | $19.95 | $39.81 | $95.50 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Facility | None | $36.31 | $36.31 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $39.81 Typical High $93.33 | Professional | None | $15.49 | $39.81 | $93.33 |
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 $17.38 Median $17.38 Typical High $17.38 | Facility | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 52 · Reduced service | $17.38 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.71 |
Where Minnesota sits
The same service costs 10.2 times more in Kansas than in Alabama. 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· 32nd of 51
$39.81
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.