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 $5.13 Median $63.10 Typical High $97.72 | Facility | None | $5.13 | $63.10 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $7.41 | Professional | None | $4.90 | $5.13 | $7.41 |
BCBS Minnesota Setting Facility Modifier None Typical Low $46.77 Median $102.33 Typical High $204.17 | Facility | None | $46.77 | $102.33 | $204.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.27 Median $4.79 Typical High $5.37 | Professional | None | $4.27 | $4.79 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $16.98 Typical High $50.12 | Facility | None | $6.92 | $16.98 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $10.47 | Professional | None | $6.31 | $7.94 | $10.47 |
Health Partners Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $39.81 | Facility | None | $10.23 | $16.98 | $39.81 |
Health Partners Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.23 | Professional | None | $6.17 | $6.17 | $10.23 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $21.88 Typical High $61.66 | Facility | None | $7.94 | $21.88 | $61.66 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $14.13 | Professional | None | $3.24 | $5.37 | $14.13 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $208.93 | Facility | None | $147.91 | $162.18 | $208.93 |
United Setting Professional Modifier None Typical Low $2.24 Median $5.01 Typical High $12.59 | Professional | None | $2.24 | $5.01 | $12.59 |
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 $2.51 Median $2.51 Typical High $2.51 | Facility | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $3.24 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.29 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.29 |
Where Minnesota sits
The same service costs 11.2 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· 11th of 51
$7.94
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.