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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | None | $25.70 | $25.70 | $33.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $25.70 Median $27.54 Typical High $104.71 | Facility | None | $25.70 | $27.54 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $27.54 | Professional | None | $21.88 | $24.55 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $257.04 | Facility | None | $53.70 | $87.10 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $52.48 | Professional | None | $31.62 | $35.48 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $199.53 | Facility | None | $51.29 | $85.11 | $199.53 |
Health Partners Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $40.74 Typical High $66.07 | Facility | None | $33.11 | $40.74 | $66.07 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $30.20 Typical High $165.96 | Professional | None | $14.13 | $30.20 | $165.96 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Facility | None | $27.54 | $27.54 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $64.57 | Professional | None | $11.48 | $21.88 | $64.57 |
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 $12.88 Median $12.88 Typical High $12.88 | Facility | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | 52 · Reduced service | $12.88 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $5.13 | $6.61 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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· 24th of 51
$27.54
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.