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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $16.98 Typical High $21.88 | Professional | None | $5.75 | $16.98 | $21.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $81.28 | Facility | None | $17.38 | $18.20 | $81.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $18.62 | Professional | None | $14.79 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $169.82 | Facility | None | $35.48 | $57.54 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $23.99 | Professional | None | $19.05 | $20.42 | $23.99 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $131.83 | Facility | None | $35.48 | $57.54 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $26.30 Typical High $85.11 | Facility | None | $8.91 | $26.30 | $85.11 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $12.02 Typical High $32.36 | Professional | None | $4.68 | $12.02 | $32.36 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Facility | None | $18.62 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $4.68 Median $12.02 Typical High $33.88 | Professional | None | $4.68 | $12.02 | $33.88 |
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 $8.51 Median $8.51 Typical High $8.51 | Facility | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.37 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.37 |
Where Minnesota sits
The same service costs 4.8 times more in Montana 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· 9th of 51
$18.20
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.