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 $25.12 Median $25.12 Typical High $190.55 | Facility | None | $25.12 | $25.12 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $32.36 | Professional | None | $20.89 | $25.12 | $32.36 |
BCBS Setting Facility Modifier None Typical Low $25.12 Median $26.92 Typical High $134.90 | Facility | None | $25.12 | $26.92 | $134.90 |
BCBS Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | None | $21.38 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $85.11 Typical High $251.19 | Facility | None | $32.36 | $85.11 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $52.48 | Professional | None | $31.62 | $38.90 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $199.53 | Facility | None | $51.29 | $83.18 | $199.53 |
Health Partners Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None | $30.90 | $30.90 | $51.29 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $151.36 | Facility | None | $26.92 | $48.98 | $151.36 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $56.23 | Professional | None | $12.59 | $25.12 | $56.23 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Facility | None | $26.92 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $24.55 Typical High $63.10 | Professional | None | $11.22 | $24.55 | $63.10 |
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 $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.46 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.46 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 20th of 51
$26.92
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.