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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | RR · Rental | $2.51 | $2.51 | $2.51 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | UE · Used equipment | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | None | $25.12 | $25.12 | $47.86 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | UE · Used equipment | $18.62 | $18.62 | $22.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $75.86 | Facility | None | $43.65 | $60.26 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $120.23 Typical High $316.23 | Facility | None | $24.55 | $120.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $52.48 | Professional | None | $36.31 | $41.69 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $302.00 | Facility | None | $79.43 | $128.82 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | None | $37.15 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $60.26 Typical High $173.78 | Facility | None | $26.30 | $60.26 | $173.78 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $28.18 Typical High $39.81 | Professional | None | $15.85 | $28.18 | $39.81 |
Medica Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.82 Typical High $3.98 | Professional | RR · Rental | $1.58 | $2.82 | $3.98 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $20.89 Typical High $30.20 | Professional | UE · Used equipment | $12.02 | $20.89 | $30.20 |
United Setting Professional Modifier None Typical Low $15.85 Median $28.18 Typical High $69.18 | Professional | None | $15.85 | $28.18 | $69.18 |
United Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.82 Typical High $6.92 | Professional | RR · Rental | $1.58 | $2.82 | $6.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $20.89 Typical High $52.48 | Professional | UE · Used equipment | $12.02 | $20.89 | $52.48 |
3 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 MS · Maintenance fee Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | MS · Maintenance fee | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | MS · Maintenance fee | $2.51 | $2.51 | $2.51 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service + 53 · Discontinued | $24.55 | $30.90 | $30.90 |
Where Minnesota sits
The same service costs 13.5 times more in Kansas than in Illinois. 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· 10th of 51
$37.15
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.