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 $27.54 Median $37.15 Typical High $37.15 | Facility | None | $27.54 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $39.81 | Professional | None | $27.54 | $33.11 | $39.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $109.65 Typical High $316.23 | Facility | None | $52.48 | $109.65 | $316.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $93.33 | Professional | None | $38.02 | $60.26 | $93.33 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $30.20 Median $48.98 Typical High $74.13 | Professional | 25 · Same-day visit | $30.20 | $48.98 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $398.11 | Facility | None | $93.33 | $141.25 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $93.33 Typical High $128.82 | Professional | None | $43.65 | $93.33 | $128.82 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $316.23 | Facility | None | $83.18 | $131.83 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $117.49 | Professional | None | $67.61 | $83.18 | $117.49 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $75.86 | Facility | None | $38.02 | $56.23 | $75.86 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $112.20 Typical High $251.19 | Professional | None | $43.65 | $112.20 | $251.19 |
United Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $107.15 | Professional | None | $33.11 | $53.70 | $107.15 |
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 $13.49 Median $18.62 Typical High $18.62 | Facility | 52 · Reduced service | $13.49 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $7.41 Typical High $7.41 | Facility | 53 · Discontinued | $5.50 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $13.49 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $5.50 | $6.31 | $7.41 |
Where Minnesota sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 2nd of 51
$63.10
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.