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 $10.00 Median $10.00 Typical High $131.83 | Facility | None | $10.00 | $10.00 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $12.88 | Professional | None | $9.55 | $10.00 | $12.88 |
BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.72 Typical High $89.13 | Facility | None | $10.23 | $10.72 | $89.13 |
BCBS Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $10.72 | Professional | None | $8.51 | $9.55 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $34.67 Typical High $100.00 | Facility | None | $13.18 | $34.67 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $20.89 | Professional | None | $12.59 | $15.85 | $20.89 |
Health Partners Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $79.43 | Facility | None | $20.42 | $33.88 | $79.43 |
Health Partners Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | None | $12.30 | $12.30 | $20.89 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $20.42 Typical High $100.00 | Facility | None | $12.88 | $20.42 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $10.72 Typical High $24.55 | Professional | None | $5.89 | $10.72 | $24.55 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $30.20 | Facility | None | $10.72 | $10.72 | $30.20 |
United Setting Professional Modifier None Typical Low $4.47 Median $9.77 Typical High $25.12 | Professional | None | $4.47 | $9.77 | $25.12 |
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 $5.01 Median $5.01 Typical High $5.01 | Facility | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $6.46 | Professional | 52 · Reduced service | $5.01 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.57 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.57 |
Where Minnesota sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 28th of 51
$10.72
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.