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 $19.05 Median $39.81 Typical High $141.25 | Facility | None | $19.05 | $39.81 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $35.48 Typical High $46.77 | Professional | None | $19.05 | $35.48 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $489.78 | Facility | None | $131.83 | $245.47 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $67.61 | Professional | None | $23.44 | $48.98 | $67.61 |
BCBS Minnesota Setting Professional Modifier CO · OT assistant Typical Low $19.95 Median $40.74 Typical High $57.54 | Professional | CO · OT assistant | $19.95 | $40.74 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $426.58 | Facility | None | $97.72 | $147.91 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $66.07 | Professional | None | $28.18 | $52.48 | $66.07 |
Health Partners Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $331.13 | Facility | None | $85.11 | $141.25 | $331.13 |
Health Partners Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | None | $28.18 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $141.25 | Facility | None | $36.31 | $64.57 | $141.25 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $275.42 | Professional | None | $57.54 | $57.54 | $275.42 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $100.00 | Professional | None | $42.66 | $57.54 | $100.00 |
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 $12.88 Median $23.44 Typical High $23.44 | Facility | 52 · Reduced service | $12.88 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $9.33 Typical High $9.33 | Facility | 53 · Discontinued | $5.13 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.98 Typical High $23.44 | Professional | 52 · Reduced service | $12.88 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.76 Typical High $9.33 | Professional | 53 · Discontinued | $5.13 | $6.76 | $9.33 |
Where Minnesota sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 30th of 51
$39.81
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.