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 $26.92 Median $61.66 Typical High $194.98 | Facility | None | $26.92 | $61.66 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $38.90 | Professional | None | $17.78 | $17.78 | $38.90 |
BCBS Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $89.13 | Facility | None | $18.20 | $19.05 | $89.13 |
BCBS Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $19.05 | Professional | None | $15.14 | $16.98 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $60.26 Typical High $177.83 | Facility | None | $24.55 | $60.26 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $37.15 | Professional | None | $21.88 | $27.54 | $37.15 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $141.25 | Facility | None | $35.48 | $58.88 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | None | $21.88 | $21.88 | $36.31 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $162.18 | Facility | None | $29.51 | $51.29 | $162.18 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $21.38 Typical High $102.33 | Professional | None | $11.48 | $21.38 | $102.33 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Facility | None | $19.05 | $19.05 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $17.38 Typical High $44.67 | Professional | None | $7.94 | $17.38 | $44.67 |
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 $8.91 Median $8.91 Typical High $8.91 | Facility | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 52 · Reduced service | $8.91 | $8.91 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.57 |
Where Minnesota sits
The same service costs 5.0 times more in Vermont than in Maryland. 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· 4th of 51
$43.65
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.