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 $39.81 Median $151.36 Typical High $346.74 | Facility | None | $39.81 | $151.36 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | None | $39.81 | $39.81 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $42.66 Typical High $104.71 | Facility | None | $40.74 | $42.66 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $42.66 | Professional | None | $33.88 | $38.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $398.11 | Facility | None | $85.11 | $138.04 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $83.18 | Professional | None | $50.12 | $56.23 | $83.18 |
Health Partners Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $316.23 | Facility | None | $81.28 | $131.83 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | None | $48.98 | $48.98 | $81.28 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $251.19 | Facility | None | $61.66 | $100.00 | $251.19 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $416.87 | Professional | None | $25.70 | $51.29 | $416.87 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Facility | None | $42.66 | $42.66 | $51.29 |
United Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $100.00 | Professional | None | $17.78 | $36.31 | $100.00 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | 52 · Reduced service | $19.95 | $19.95 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.23 |
Where Minnesota sits
The same service costs 4.5 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· 24th of 51
$51.29
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.