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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
BCBS Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $426.58 | Facility | None | $165.96 | $173.78 | $426.58 |
BCBS Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None | $141.25 | $158.49 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $1,621.81 | Facility | None | $346.74 | $562.34 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $338.84 | Professional | None | $204.17 | $229.09 | $338.84 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $1,288.25 | Facility | None | $331.13 | $537.03 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $331.13 | Professional | None | $199.53 | $199.53 | $331.13 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $363.08 | Facility | None | $173.78 | $275.42 | $363.08 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $870.96 | Professional | None | $89.13 | $181.97 | $870.96 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $208.93 | Facility | None | $173.78 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $407.38 | Professional | None | $74.13 | $141.25 | $407.38 |
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 $81.28 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$174
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.