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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $33.11 | Professional | None | $25.70 | $28.84 | $33.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $141.25 Typical High $316.23 | Facility | None | $52.48 | $141.25 | $316.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $83.18 | Professional | None | $34.67 | $50.12 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $125.89 | Facility | None | $42.66 | $66.07 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $109.65 | Professional | None | $43.65 | $60.26 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $107.15 | Facility | None | $38.02 | $61.66 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $97.72 | Professional | None | $42.66 | $57.54 | $97.72 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $51.29 Typical High $112.20 | Facility | None | $25.70 | $51.29 | $112.20 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $154.88 | Professional | None | $27.54 | $46.77 | $154.88 |
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 $24.55 Median $38.90 Typical High $77.62 | Professional | None | $24.55 | $38.90 | $77.62 |
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 $14.45 Median $14.45 Typical High $14.45 | Facility | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.13 | $5.75 | $5.75 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska 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· 3rd of 51
$51.29
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.