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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | None | $5.62 | $5.62 | $5.75 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.62 Median $8.32 Typical High $11.22 | Facility | None | $5.62 | $8.32 | $11.22 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.57 Median $5.13 Typical High $5.62 | Professional | None | $4.57 | $5.13 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $6.17 Typical High $7.41 | Facility | None | $5.75 | $6.17 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $7.24 | Professional | None | $5.75 | $6.31 | $7.24 |
Health Partners Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Health Partners Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Medica Setting Facility Modifier None Typical Low $0.56 Median $4.37 Typical High $9.55 | Facility | None | $0.56 | $4.37 | $9.55 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $10.23 | Professional | None | $5.75 | $5.75 | $10.23 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $10.47 | Professional | None | $5.62 | $5.62 | $10.47 |
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 $2.82 Median $2.82 Typical High $2.82 | Facility | 52 · Reduced service | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.15 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.15 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Vermont. 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· 27th of 51
$5.75
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.