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 $46.77 Median $91.20 Typical High $173.78 | Facility | None | $46.77 | $91.20 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None | $33.11 | $33.11 | $57.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $81.28 | Facility | None | $33.11 | $35.48 | $81.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $35.48 | Professional | None | $28.18 | $31.62 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $323.59 | Facility | None | $69.18 | $112.20 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $67.61 | Professional | None | $40.74 | $45.71 | $67.61 |
Health Partners Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $257.04 | Facility | None | $66.07 | $107.15 | $257.04 |
Health Partners Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | None | $39.81 | $39.81 | $66.07 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $102.33 Typical High $194.98 | Facility | None | $41.69 | $102.33 | $194.98 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $173.78 | Professional | None | $20.89 | $47.86 | $173.78 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Facility | None | $35.48 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $83.18 | Professional | None | $14.79 | $28.84 | $83.18 |
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 $16.60 Median $16.60 Typical High $16.60 | Facility | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 52 · Reduced service | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
Where Minnesota sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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· 4th of 51
$69.18
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.