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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $7.08 | Professional | None | $4.57 | $5.50 | $7.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.62 Median $5.89 Typical High $218.78 | Facility | None | $5.62 | $5.89 | $218.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.68 Median $5.25 Typical High $5.89 | Professional | None | $4.68 | $5.25 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $18.20 Typical High $53.70 | Facility | None | $6.92 | $18.20 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $11.22 | Professional | None | $6.61 | $8.32 | $11.22 |
Health Partners Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $42.66 | Facility | None | $10.72 | $17.78 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.96 | Professional | None | $6.61 | $6.61 | $10.96 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $10.96 Typical High $100.00 | Facility | None | $6.76 | $10.96 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $5.25 Typical High $12.59 | Professional | None | $2.40 | $5.25 | $12.59 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $15.14 | Facility | None | $5.89 | $5.89 | $15.14 |
United Setting Professional Modifier None Typical Low $2.40 Median $5.25 Typical High $13.80 | Professional | None | $2.40 | $5.25 | $13.80 |
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 $2.75 Median $2.75 Typical High $2.75 | Facility | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.41 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.41 |
Where Minnesota sits
The same service costs 3.9 times more in Kansas than in Vermont. 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
$5.89
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.