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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $141.25 Median $151.36 Typical High $446.68 | Facility | None | $141.25 | $151.36 | $446.68 |
BCBS Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $151.36 | Professional | None | $120.23 | $134.90 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $1,412.54 | Facility | None | $295.12 | $478.63 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $295.12 | Professional | None | $173.78 | $199.53 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $1,096.48 | Facility | None | $281.84 | $467.74 | $1,096.48 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | None | $173.78 | $173.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $363.08 | Facility | None | $181.97 | $239.88 | $363.08 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $165.96 Typical High $758.58 | Professional | None | $75.86 | $165.96 | $758.58 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Facility | None | $151.36 | $151.36 | $181.97 |
United Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $354.81 | Professional | None | $63.10 | $120.23 | $354.81 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.84 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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· 25th of 51
$151
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.