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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $60.26 | Professional | None | $48.98 | $51.29 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $144.54 | Facility | None | $46.77 | $89.13 | $144.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $131.83 | Professional | None | $61.66 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $446.68 | Facility | None | $104.71 | $158.49 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $165.96 | Professional | None | $67.61 | $100.00 | $165.96 |
Health Partners Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $354.81 | Facility | None | $93.33 | $147.91 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $151.36 | Professional | None | $67.61 | $95.50 | $151.36 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $112.20 | Facility | None | $63.10 | $81.28 | $112.20 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $346.74 | Professional | None | $61.66 | $120.23 | $346.74 |
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 $54.95 Median $100.00 Typical High $186.21 | Professional | None | $54.95 | $100.00 | $186.21 |
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 $25.70 Median $25.70 Typical High $25.70 | Facility | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.55 | $10.23 | $10.23 |
Where Minnesota sits
The same service costs 2.6 times more in Nebraska 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· 4th of 51
$93.33
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.