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 $43.65 Median $72.44 Typical High $154.88 | Facility | None | $43.65 | $72.44 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | None | $19.05 | $19.05 | $24.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.05 Median $20.42 Typical High $102.33 | Facility | None | $19.05 | $20.42 | $102.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $20.42 | Professional | None | $16.22 | $18.20 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $190.55 | Facility | None | $40.74 | $66.07 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $39.81 | Professional | None | $23.99 | $26.30 | $39.81 |
Health Partners Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $151.36 | Facility | None | $38.90 | $63.10 | $151.36 |
Health Partners Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | None | $23.44 | $23.44 | $36.31 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $114.82 | Facility | None | $29.51 | $58.88 | $114.82 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $93.33 Typical High $165.96 | Professional | None | $20.42 | $93.33 | $165.96 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Facility | None | $20.42 | $20.42 | $24.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $26.30 Typical High $58.88 | Professional | None | $12.02 | $26.30 | $58.88 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Where Minnesota sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 2nd of 51
$66.07
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.