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 $1.82 Median $2.04 Typical High $2.40 | Facility | None | $1.82 | $2.04 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $2.04 Typical High $2.40 | Professional | None | $1.82 | $2.04 | $2.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.02 Median $42.66 Typical High $93.33 | Facility | None | $12.02 | $42.66 | $93.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.57 Median $2.75 Typical High $5.01 | Professional | None | $2.57 | $2.75 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $7.08 Typical High $19.95 | Facility | None | $4.68 | $7.08 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.39 | Professional | None | $2.45 | $3.09 | $3.39 |
Health Partners Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $15.85 | Facility | None | $4.27 | $6.76 | $15.85 |
Health Partners Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Medica Setting Facility Modifier None Typical Low $3.02 Median $4.07 Typical High $251.19 | Facility | None | $3.02 | $4.07 | $251.19 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $2.95 Typical High $13.18 | Professional | None | $2.51 | $2.95 | $13.18 |
United Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $102.33 | Facility | None | $72.44 | $79.43 | $102.33 |
United Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $4.79 | Professional | None | $2.34 | $2.95 | $4.79 |
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 $1.20 Median $1.20 Typical High $1.20 | Facility | 52 · Reduced service | $1.20 | $1.20 | $1.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | 53 · Discontinued | $0.48 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.48 |
Where Minnesota sits
The same service costs 2.2 times more in North Dakota 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· 15th of 51
$2.45
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.