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 $16.60 Median $57.54 Typical High $89.13 | Facility | None | $16.60 | $57.54 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $6.17 | Professional | None | $2.82 | $2.82 | $6.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.80 Median $48.98 Typical High $112.20 | Facility | None | $13.80 | $48.98 | $112.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.40 Median $2.69 Typical High $3.02 | Professional | None | $2.40 | $2.69 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $9.12 Typical High $26.92 | Facility | None | $3.80 | $9.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.17 Typical High $5.62 | Professional | None | $3.31 | $4.17 | $5.62 |
Health Partners Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $21.38 | Facility | None | $5.37 | $8.91 | $21.38 |
Health Partners Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $5.50 | Professional | None | $3.31 | $3.31 | $5.50 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $36.31 Typical High $64.57 | Facility | None | $9.55 | $36.31 | $64.57 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $3.63 Typical High $23.44 | Professional | None | $1.78 | $3.63 | $23.44 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.75 Typical High $7.08 | Professional | None | $1.26 | $2.75 | $7.08 |
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 $1.41 Median $1.41 Typical High $1.41 | Facility | 52 · Reduced service | $1.41 | $1.41 | $1.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Facility | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.41 Typical High $1.82 | Professional | 52 · Reduced service | $1.41 | $1.41 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.72 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.72 |
Where Minnesota sits
The same service costs 28.2 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· 2nd of 51
$40.74
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.