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 $20.89 Median $257.04 Typical High $851.14 | Facility | None | $20.89 | $257.04 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.38 | Professional | None | $13.18 | $13.18 | $21.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $138.04 Typical High $354.81 | Facility | None | $52.48 | $138.04 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $36.31 | Professional | None | $17.38 | $27.54 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $117.49 | Facility | None | $27.54 | $41.69 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $38.90 | Professional | None | $20.42 | $34.67 | $38.90 |
Health Partners Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $93.33 | Facility | None | $24.55 | $38.90 | $93.33 |
Health Partners Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $37.15 | Professional | None | $18.20 | $34.67 | $37.15 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $134.90 Typical High $331.13 | Facility | None | $22.91 | $134.90 | $331.13 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $38.02 Typical High $91.20 | Professional | None | $17.78 | $38.02 | $91.20 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $16.60 Median $31.62 Typical High $53.70 | Professional | None | $16.60 | $31.62 | $53.70 |
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 $6.61 Median $6.61 Typical High $6.61 | Facility | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Where Minnesota sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 1st of 51
$33.88
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.