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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | None | $223.87 | $223.87 | $288.40 |
BCBS Setting Facility Modifier None Typical Low $223.87 Median $239.88 Typical High $575.44 | Facility | None | $223.87 | $239.88 | $575.44 |
BCBS Setting Professional Modifier 59 · Distinct service Typical Low $190.55 Median $213.80 Typical High $239.88 | Professional | 59 · Distinct service | $190.55 | $213.80 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $2,238.72 | Facility | None | $467.74 | $758.58 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $457.09 | Professional | None | $275.42 | $309.03 | $457.09 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,737.80 | Facility | None | $446.68 | $741.31 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $426.58 | Professional | None | $275.42 | $275.42 | $426.58 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $478.63 | Facility | None | $245.47 | $346.74 | $478.63 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $213.80 Typical High $1,202.26 | Professional | None | $83.18 | $213.80 | $1,202.26 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Facility | None | $239.88 | $239.88 | $288.40 |
United Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $562.34 | Professional | None | $83.18 | $162.18 | $562.34 |
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 $112.20 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $44.67 | $45.71 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 10th of 51
$275
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.