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 $24.55 Median $109.65 Typical High $169.82 | Facility | None | $24.55 | $109.65 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | None | $24.55 | $24.55 | $45.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $24.55 Median $26.30 Typical High $104.71 | Facility | None | $24.55 | $26.30 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $26.30 | Professional | None | $20.89 | $23.44 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $83.18 Typical High $245.47 | Facility | None | $33.88 | $83.18 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $51.29 | Professional | None | $30.20 | $38.02 | $51.29 |
Health Partners Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $194.98 | Facility | None | $48.98 | $81.28 | $194.98 |
Health Partners Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $50.12 | Professional | None | $30.20 | $30.20 | $50.12 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $125.89 | Facility | None | $26.30 | $51.29 | $125.89 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $54.95 | Professional | None | $14.45 | $23.44 | $54.95 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Facility | None | $26.30 | $26.30 | $31.62 |
United Setting Professional Modifier None Typical Low $10.96 Median $23.99 Typical High $61.66 | Professional | None | $10.96 | $23.99 | $61.66 |
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 $12.30 Median $12.30 Typical High $12.30 | Facility | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $4.90 | $6.31 |
Where Minnesota sits
The same service costs 6.0 times more in Alaska 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· 15th of 51
$30.20
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.