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 $79.43 Median $144.54 Typical High $363.08 | Facility | None | $79.43 | $144.54 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | None | $58.88 | $58.88 | $100.00 |
BCBS Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $208.93 | Facility | None | $58.88 | $61.66 | $208.93 |
BCBS Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $61.66 | Professional | None | $50.12 | $56.23 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $199.53 Typical High $575.44 | Facility | None | $74.13 | $199.53 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $120.23 | Professional | None | $72.44 | $91.20 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $457.09 | Facility | None | $117.49 | $194.98 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | None | $70.79 | $70.79 | $120.23 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $323.59 | Facility | None | $74.13 | $154.88 | $323.59 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $69.18 Typical High $251.19 | Professional | None | $33.88 | $69.18 | $251.19 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Facility | None | $61.66 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $26.30 Median $61.66 Typical High $144.54 | Professional | None | $26.30 | $61.66 | $144.54 |
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 $29.51 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $11.75 | $11.75 | $14.79 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska 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· 3rd of 51
$107
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.