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 $36.31 Median $83.18 Typical High $134.90 | Facility | None | $36.31 | $83.18 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $19.05 | Professional | None | $8.13 | $8.13 | $19.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.13 Median $8.71 Typical High $52.48 | Facility | None | $8.13 | $8.71 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.92 Median $7.76 Typical High $8.71 | Professional | None | $6.92 | $7.76 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $27.54 Typical High $81.28 | Facility | None | $10.96 | $27.54 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $16.60 | Professional | None | $10.00 | $12.59 | $16.60 |
Health Partners Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $63.10 | Facility | None | $16.22 | $26.92 | $63.10 |
Health Partners Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $16.60 | Professional | None | $10.00 | $10.00 | $16.60 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $52.48 Typical High $120.23 | Facility | None | $16.98 | $52.48 | $120.23 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $41.69 | Professional | None | $5.13 | $10.23 | $41.69 |
United Setting Facility Modifier None Typical Low $2.95 Median $8.71 Typical High $36.31 | Facility | None | $2.95 | $8.71 | $36.31 |
United Setting Professional Modifier None Typical Low $3.63 Median $7.94 Typical High $20.42 | Professional | None | $3.63 | $7.94 | $20.42 |
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 $4.07 Median $4.07 Typical High $4.07 | Facility | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Facility | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | 52 · Reduced service | $4.07 | $4.07 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.04 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.04 |
Where Minnesota sits
The same service costs 10.2 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
$60.26
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.