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 $11.48 Median $109.65 Typical High $323.59 | Facility | None | $11.48 | $109.65 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.22 | Professional | None | $11.48 | $11.48 | $16.22 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $169.82 | Facility | None | $11.75 | $12.30 | $169.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $12.30 | Professional | None | $9.77 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $38.90 Typical High $114.82 | Facility | None | $15.49 | $38.90 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $23.44 | Professional | None | $14.13 | $17.78 | $23.44 |
Health Partners Setting Facility Modifier None Typical Low $22.91 Median $38.02 Typical High $89.13 | Facility | None | $22.91 | $38.02 | $89.13 |
Health Partners Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $23.44 | Professional | None | $14.13 | $14.13 | $23.44 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $134.90 | Facility | None | $14.79 | $24.55 | $134.90 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $28.18 | Professional | None | $7.76 | $13.18 | $28.18 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $60.26 | Facility | None | $12.30 | $12.30 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $28.84 | Professional | None | $7.41 | $13.18 | $28.84 |
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 $5.75 Median $5.75 Typical High $5.75 | Facility | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.95 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.95 |
Where Minnesota sits
The same service costs 3.5 times more in Kansas than in Georgia. 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
$14.13
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.