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 $12.30 Median $12.30 Typical High $245.47 | Facility | None | $12.30 | $12.30 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.85 | Professional | None | $12.30 | $12.30 | $15.85 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.30 Median $13.18 Typical High $218.78 | Facility | None | $12.30 | $13.18 | $218.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $13.18 | Professional | None | $10.47 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $120.23 | Facility | None | $25.70 | $41.69 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $25.12 | Professional | None | $15.14 | $16.98 | $25.12 |
Health Partners Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $95.50 | Facility | None | $24.55 | $39.81 | $95.50 |
Health Partners Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $22.91 | Professional | None | $14.79 | $14.79 | $22.91 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $23.99 Typical High $323.59 | Facility | None | $15.85 | $23.99 | $323.59 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $602.56 | Professional | None | $10.96 | $24.55 | $602.56 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Facility | None | $13.18 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $7.76 Median $15.85 Typical High $34.67 | Professional | None | $7.76 | $15.85 | $34.67 |
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 $6.17 Median $6.17 Typical High $6.17 | Facility | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.16 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska 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· 21st of 51
$14.79
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.