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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | None | $19.05 | $19.05 | $23.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.05 Median $19.95 Typical High $91.20 | Facility | None | $19.05 | $19.95 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $19.95 | Professional | None | $16.22 | $18.20 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $186.21 | Facility | None | $39.81 | $64.57 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $38.90 | Professional | None | $23.44 | $26.30 | $38.90 |
Health Partners Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $147.91 | Facility | None | $38.02 | $61.66 | $147.91 |
Health Partners Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | None | $22.91 | $22.91 | $38.90 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $37.15 Typical High $47.86 | Facility | None | $23.99 | $37.15 | $47.86 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $165.96 | Professional | None | $12.02 | $22.39 | $165.96 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Facility | None | $19.95 | $19.95 | $23.99 |
United Setting Professional Modifier None Typical Low $8.51 Median $16.98 Typical High $46.77 | Professional | None | $8.51 | $16.98 | $46.77 |
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 $9.33 Median $9.33 Typical High $9.33 | Facility | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $12.02 | Professional | 52 · Reduced service | $9.33 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.79 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.79 |
Where Minnesota sits
The same service costs 5.5 times more in Texas 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· 32nd of 51
$19.95
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.