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 $40.74 Median $239.88 Typical High $933.25 | Facility | None | $40.74 | $239.88 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $36.31 Typical High $54.95 | Professional | None | $12.02 | $36.31 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $45.71 Median $79.43 Typical High $120.23 | Facility | None | $45.71 | $79.43 | $120.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15.49 Median $51.29 Typical High $102.33 | Professional | None | $15.49 | $51.29 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $371.54 | Facility | None | $87.10 | $125.89 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $44.67 Typical High $123.03 | Professional | None | $16.60 | $44.67 | $123.03 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $123.03 Typical High $288.40 | Facility | None | $74.13 | $123.03 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $19.05 Median $50.12 Typical High $120.23 | Professional | None | $19.05 | $50.12 | $120.23 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $70.79 Typical High $245.47 | Facility | None | $20.42 | $70.79 | $245.47 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $245.47 | Professional | None | $47.86 | $74.13 | $245.47 |
United Setting Professional Modifier None Typical Low $13.18 Median $39.81 Typical High $109.65 | Professional | None | $13.18 | $39.81 | $109.65 |
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 $6.31 Median $20.42 Typical High $20.42 | Facility | 52 · Reduced service | $6.31 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $2.51 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $18.20 Typical High $21.88 | Professional | 52 · Reduced service | $6.31 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $7.24 Typical High $8.71 | Professional | 53 · Discontinued | $2.51 | $7.24 | $8.71 |
Where Minnesota sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 3rd of 51
$53.70
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.