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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $25.70 | Professional | None | $18.20 | $18.62 | $25.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $18.62 Median $19.50 Typical High $67.61 | Facility | None | $18.62 | $19.50 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $19.50 | Professional | None | $15.85 | $17.78 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $63.10 Typical High $186.21 | Facility | None | $25.12 | $63.10 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $38.02 | Professional | None | $22.91 | $28.84 | $38.02 |
Health Partners Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $144.54 | Facility | None | $37.15 | $61.66 | $144.54 |
Health Partners Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | None | $22.91 | $22.91 | $38.02 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $100.00 | Facility | None | $19.50 | $36.31 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $41.69 | Professional | None | $10.72 | $17.78 | $41.69 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Facility | None | $19.50 | $19.50 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $45.71 | Professional | None | $8.32 | $18.20 | $45.71 |
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 $9.12 Median $9.12 Typical High $9.12 | Facility | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $11.75 | Professional | 52 · Reduced service | $9.12 | $9.12 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.68 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.68 |
Where Minnesota sits
The same service costs 4.6 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· 28th of 51
$19.50
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.