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 $20.89 Median $20.89 Typical High $138.04 | Facility | None | $20.89 | $20.89 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $33.88 | Professional | None | $17.78 | $20.89 | $33.88 |
BCBS Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $134.90 | Facility | None | $21.38 | $22.39 | $134.90 |
BCBS Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $22.39 | Professional | None | $17.78 | $19.95 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $70.79 Typical High $208.93 | Facility | None | $26.92 | $70.79 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $42.66 | Professional | None | $25.70 | $32.36 | $42.66 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $69.18 Typical High $162.18 | Facility | None | $41.69 | $69.18 | $162.18 |
Health Partners Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $42.66 | Professional | None | $25.70 | $25.70 | $42.66 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $147.91 | Facility | None | $23.99 | $41.69 | $147.91 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $51.29 | Professional | None | $11.48 | $22.39 | $51.29 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $52.48 | Professional | None | $9.33 | $20.42 | $52.48 |
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 $10.47 Median $10.47 Typical High $10.47 | Facility | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 52 · Reduced service | $10.47 | $10.47 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.37 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in New York. 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· 22nd of 51
$22.39
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.