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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None | $173.78 | $173.78 | $223.87 |
BCBS Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $446.68 | Facility | None | $177.83 | $186.21 | $446.68 |
BCBS Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | None | $147.91 | $165.96 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $1,737.80 | Facility | None | $371.54 | $588.84 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $363.08 | Professional | None | $213.80 | $245.47 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,348.96 | Facility | None | $346.74 | $575.44 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | None | $213.80 | $213.80 | $354.81 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $371.54 | Facility | None | $223.87 | $295.12 | $371.54 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $208.93 Typical High $933.25 | Professional | None | $95.50 | $208.93 | $933.25 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Facility | None | $186.21 | $186.21 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $147.91 Typical High $436.52 | Professional | None | $77.62 | $147.91 | $436.52 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $44.67 |
Where Minnesota sits
The same service costs 4.5 times more in Texas than in Oklahoma. 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· 25th of 51
$186
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.