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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | None | $309.03 | $309.03 | $316.23 |
BCBS Setting Facility Modifier None Typical Low $316.23 Median $331.13 Typical High $812.83 | Facility | None | $316.23 | $331.13 | $812.83 |
BCBS Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $331.13 | Professional | None | $263.03 | $295.12 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $3,090.30 | Facility | None | $660.69 | $1,071.52 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $645.65 | Professional | None | $380.19 | $436.52 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $2,454.71 | Facility | None | $616.60 | $1,023.29 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $588.84 | Professional | None | $380.19 | $380.19 | $588.84 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $660.69 | Facility | None | $389.05 | $524.81 | $660.69 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $323.59 Typical High $1,659.59 | Professional | None | $131.83 | $323.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $776.25 | Professional | None | $131.83 | $257.04 | $776.25 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $61.66 | $63.10 |
Where Minnesota sits
The same service costs 5.2 times more in Texas than in Alabama. 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· 15th of 51
$331
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.