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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
BCBS Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $134.90 | Facility | None | $64.57 | $70.79 | $134.90 |
BCBS Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $70.79 | Professional | None | $57.54 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $223.87 Typical High $660.69 | Facility | None | $85.11 | $223.87 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $138.04 | Professional | None | $83.18 | $104.71 | $138.04 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $524.81 | Facility | None | $134.90 | $223.87 | $524.81 |
Health Partners Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $134.90 | Professional | None | $81.28 | $81.28 | $134.90 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $338.84 | Facility | None | $70.79 | $112.20 | $338.84 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $151.36 | Professional | None | $36.31 | $64.57 | $151.36 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $30.20 Median $66.07 Typical High $165.96 | Professional | None | $30.20 | $66.07 | $165.96 |
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 $33.11 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | 52 · Reduced service | $33.11 | $33.11 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $13.49 | $13.49 | $16.98 |
Where Minnesota sits
The same service costs 3.5 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· 22nd of 51
$70.79
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.