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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $316.23 | Professional | None | $158.49 | $169.82 | $316.23 |
BCBS Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,467.37 | Facility | None | $323.59 | $691.83 | $3,467.37 |
BCBS Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $138.04 Median $181.97 Typical High $275.42 | Professional | 52 · Reduced service + 53 · Discontinued | $138.04 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,659.59 | Facility | None | $389.05 | $588.84 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $562.34 | Professional | None | $251.19 | $323.59 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $1,318.26 | Facility | None | $346.74 | $562.34 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $512.86 | Professional | None | $251.19 | $251.19 | $512.86 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $416.87 | Facility | None | $234.42 | $288.40 | $416.87 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $1,258.93 | Professional | None | $213.80 | $446.68 | $1,258.93 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $549.54 | Professional | None | $190.55 | $316.23 | $549.54 |
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 $85.11 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | 52 · Reduced service | $85.11 | $85.11 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $51.29 | Professional | 53 · Discontinued | $33.88 | $33.88 | $51.29 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 7th of 51
$316
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.