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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $11.22 | Professional | None | $8.71 | $8.71 | $11.22 |
BCBS Setting Facility Modifier None Typical Low $8.91 Median $9.33 Typical High $89.13 | Facility | None | $8.91 | $9.33 | $89.13 |
BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.51 Typical High $9.33 | Professional | None | $7.41 | $8.51 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $29.51 Typical High $87.10 | Facility | None | $11.22 | $29.51 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $18.20 | Professional | None | $10.96 | $13.49 | $18.20 |
Health Partners Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $69.18 | Facility | None | $17.78 | $28.84 | $69.18 |
Health Partners Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.78 | Professional | None | $10.72 | $10.72 | $17.78 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $14.79 Typical High $100.00 | Facility | None | $9.33 | $14.79 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $19.95 | Professional | None | $4.79 | $8.51 | $19.95 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $36.31 | Facility | None | $9.33 | $9.33 | $36.31 |
United Setting Professional Modifier None Typical Low $3.89 Median $8.51 Typical High $21.88 | Professional | None | $3.89 | $8.51 | $21.88 |
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 $4.37 Median $4.37 Typical High $4.37 | Facility | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | 53 · Discontinued | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $5.62 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.24 |
Where Minnesota sits
The same service costs 5.9 times more in Kansas 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· 23rd of 51
$9.33
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.