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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | None | $12.59 | $12.59 | $16.22 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.88 Median $13.49 Typical High $91.20 | Facility | None | $12.88 | $13.49 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $13.49 | Professional | None | $10.72 | $12.02 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $42.66 Typical High $123.03 | Facility | None | $15.85 | $42.66 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $25.70 | Professional | None | $15.49 | $19.50 | $25.70 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $97.72 | Facility | None | $25.12 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $24.55 Typical High $79.43 | Facility | None | $13.49 | $24.55 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $28.84 | Professional | None | $7.41 | $12.02 | $28.84 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Facility | None | $13.49 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $12.30 Typical High $31.62 | Professional | None | $5.62 | $12.30 | $31.62 |
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 $6.31 Median $6.31 Typical High $6.31 | Facility | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $8.13 | Professional | 52 · Reduced service | $6.31 | $6.31 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.24 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.24 |
Where Minnesota sits
The same service costs 4.1 times more in Kansas than in New Jersey. 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· 22nd of 51
$13.49
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.