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 $60.26 Typical High $107.15 | Facility | None | $24.55 | $60.26 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $20.89 | Professional | None | $9.77 | $9.77 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $91.20 | Facility | None | $9.77 | $10.23 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.32 Median $9.33 Typical High $10.23 | Professional | None | $8.32 | $9.33 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $33.11 Typical High $97.72 | Facility | None | $13.18 | $33.11 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $19.95 | Professional | None | $12.02 | $15.14 | $19.95 |
Health Partners Setting Facility Modifier None Typical Low $19.50 Median $32.36 Typical High $75.86 | Facility | None | $19.50 | $32.36 | $75.86 |
Health Partners Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.95 | Professional | None | $12.02 | $12.02 | $19.95 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $37.15 Typical High $97.72 | Facility | None | $17.78 | $37.15 | $97.72 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $12.30 Typical High $58.88 | Professional | None | $6.17 | $12.30 | $58.88 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $12.30 | Facility | None | $10.23 | $10.23 | $12.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $9.55 Typical High $23.99 | Professional | None | $4.37 | $9.55 | $23.99 |
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 $4.90 Median $4.90 Typical High $4.90 | Facility | 52 · Reduced service | $4.90 | $4.90 | $4.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $6.17 | Professional | 52 · Reduced service | $4.90 | $4.90 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.45 |
Where Minnesota sits
The same service costs 12.6 times more in Vermont 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· 2nd of 51
$48.98
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.