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 $7.59 Median $67.61 Typical High $125.89 | Facility | None | $7.59 | $67.61 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $16.22 | Professional | None | $7.41 | $7.59 | $16.22 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.76 Median $8.13 Typical High $67.61 | Facility | None | $7.76 | $8.13 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $8.13 | Professional | None | $6.46 | $7.24 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $26.30 Typical High $77.62 | Facility | None | $10.47 | $26.30 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $15.85 | Professional | None | $9.55 | $12.02 | $15.85 |
Health Partners Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $60.26 | Facility | None | $15.49 | $25.70 | $60.26 |
Health Partners Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $15.85 | Professional | None | $9.55 | $9.55 | $15.85 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $27.54 Typical High $120.23 | Facility | None | $9.77 | $27.54 | $120.23 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $21.38 | Professional | None | $4.57 | $8.13 | $21.38 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $60.26 | Facility | None | $8.13 | $8.13 | $60.26 |
United Setting Professional Modifier None Typical Low $3.39 Median $7.41 Typical High $19.05 | Professional | None | $3.39 | $7.41 | $19.05 |
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 $3.80 Median $3.80 Typical High $3.80 | Facility | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $4.79 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.95 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.95 |
Where Minnesota sits
The same service costs 5.6 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· 4th of 51
$15.85
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.