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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | None | $15.14 | $15.14 | $19.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15.14 Median $15.85 Typical High $67.61 | Facility | None | $15.14 | $15.85 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $15.85 | Professional | None | $12.88 | $14.45 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $50.12 Typical High $147.91 | Facility | None | $19.05 | $50.12 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $30.90 | Professional | None | $18.20 | $22.91 | $30.90 |
Health Partners Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $117.49 | Facility | None | $29.51 | $48.98 | $117.49 |
Health Partners Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $30.20 | Professional | None | $18.20 | $18.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $75.86 | Facility | None | $15.85 | $25.70 | $75.86 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $33.88 | Professional | None | $7.94 | $14.45 | $33.88 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Facility | None | $15.85 | $15.85 | $19.05 |
United Setting Professional Modifier None Typical Low $6.76 Median $14.79 Typical High $37.15 | Professional | None | $6.76 | $14.79 | $37.15 |
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 $7.59 Median $7.59 Typical High $7.59 | Facility | 52 · Reduced service | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | 53 · Discontinued | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $9.55 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.80 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.80 |
Where Minnesota sits
The same service costs 3.5 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· 23rd of 51
$15.85
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.