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 $8.13 Median $47.86 Typical High $323.59 | Facility | None | $8.13 | $47.86 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | None | $31.62 | $31.62 | $39.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $446.68 | Facility | None | $31.62 | $33.11 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $33.11 | Professional | None | $26.92 | $30.20 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $309.03 | Facility | None | $66.07 | $107.15 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $64.57 | Professional | None | $38.90 | $43.65 | $64.57 |
Health Partners Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $245.47 | Facility | None | $63.10 | $102.33 | $245.47 |
Health Partners Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | None | $38.02 | $38.02 | $64.57 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $54.95 Typical High $93.33 | Facility | None | $13.80 | $54.95 | $93.33 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $398.11 | Professional | None | $27.54 | $61.66 | $398.11 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Facility | None | $33.11 | $33.11 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $89.13 | Professional | None | $19.95 | $39.81 | $89.13 |
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 $15.85 Median $15.85 Typical High $15.85 | Facility | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | 52 · Reduced service | $15.85 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.94 |
Where Minnesota sits
The same service costs 5.6 times more in Kansas 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· 24th of 51
$38.02
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.