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 $3.98 Median $56.23 Typical High $117.49 | Facility | None | $3.98 | $56.23 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $7.41 | Professional | None | $3.98 | $3.98 | $7.41 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.07 Median $4.27 Typical High $52.48 | Facility | None | $4.07 | $4.27 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $4.27 | Professional | None | $3.39 | $3.80 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $13.80 Typical High $39.81 | Facility | None | $5.50 | $13.80 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $8.32 | Professional | None | $5.01 | $6.31 | $8.32 |
Health Partners Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $31.62 | Facility | None | $8.13 | $13.49 | $31.62 |
Health Partners Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $8.32 | Professional | None | $5.01 | $5.01 | $8.32 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $30.90 Typical High $67.61 | Facility | None | $6.17 | $30.90 | $67.61 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $4.68 Typical High $13.18 | Professional | None | $2.69 | $4.68 | $13.18 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Facility | None | $4.27 | $4.27 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $10.00 | Professional | None | $2.57 | $4.68 | $10.00 |
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 $2.00 Median $2.00 Typical High $2.00 | Facility | 52 · Reduced service | $2.00 | $2.00 | $2.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | 53 · Discontinued | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.00 Typical High $2.57 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $1.02 | Professional | 53 · Discontinued | $0.79 | $0.79 | $1.02 |
Where Minnesota sits
The same service costs 3.2 times more in Kansas 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· 21st of 51
$5.01
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.