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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $7.24 | Professional | None | $5.13 | $5.25 | $7.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.25 Median $5.62 Typical High $104.71 | Facility | None | $5.25 | $5.62 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $5.62 | Professional | None | $4.47 | $5.01 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $16.98 Typical High $50.12 | Facility | None | $7.24 | $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 $5.62 Median $10.23 Typical High $100.00 | Facility | None | $5.62 | $10.23 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $5.01 Typical High $11.75 | Professional | None | $3.09 | $5.01 | $11.75 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $12.02 | Facility | None | $5.62 | $5.62 | $12.02 |
United Setting Professional Modifier None Typical Low $2.34 Median $5.13 Typical High $13.18 | Professional | None | $2.34 | $5.13 | $13.18 |
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 $2.63 Median $2.63 Typical High $2.63 | Facility | 52 · Reduced service | $2.63 | $2.63 | $2.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.05 | Facility | 53 · Discontinued | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.63 Typical High $3.31 | Professional | 52 · Reduced service | $2.63 | $2.63 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.35 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.35 |
Where Minnesota sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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
$5.62
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.