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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | None | $28.18 | $28.18 | $34.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $104.71 | Facility | None | $28.18 | $29.51 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $29.51 | Professional | None | $23.99 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $275.42 | Facility | None | $58.88 | $95.50 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $57.54 | Professional | None | $34.67 | $38.90 | $57.54 |
Health Partners Setting Facility Modifier None Typical Low $56.23 Median $91.20 Typical High $218.78 | Facility | None | $56.23 | $91.20 | $218.78 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $53.70 | Professional | None | $34.67 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $70.79 | Facility | None | $35.48 | $43.65 | $70.79 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $181.97 | Professional | None | $14.13 | $30.90 | $181.97 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Facility | None | $29.51 | $29.51 | $35.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $23.99 Typical High $69.18 | Professional | None | $12.59 | $23.99 | $69.18 |
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 $14.13 Median $14.13 Typical High $14.13 | Facility | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.08 |
Where Minnesota sits
The same service costs 5.4 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· 22nd of 51
$29.51
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.