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 $33.88 Median $64.57 Typical High $120.23 | Facility | None | $33.88 | $64.57 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $26.30 | Professional | None | $8.51 | $8.51 | $26.30 |
BCBS Setting Facility Modifier None Typical Low $8.51 Median $9.12 Typical High $69.18 | Facility | None | $8.51 | $9.12 | $69.18 |
BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $9.12 | Professional | None | $7.24 | $8.13 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $28.84 Typical High $83.18 | Facility | None | $11.48 | $28.84 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $17.38 | Professional | None | $10.47 | $13.18 | $17.38 |
Health Partners Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $66.07 | Facility | None | $16.98 | $28.18 | $66.07 |
Health Partners Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $17.38 | Professional | None | $10.23 | $10.23 | $17.38 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $54.95 Typical High $112.20 | Facility | None | $18.62 | $54.95 | $112.20 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $10.72 Typical High $67.61 | Professional | None | $5.13 | $10.72 | $67.61 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $10.72 | Facility | None | $9.12 | $9.12 | $10.72 |
United Setting Professional Modifier None Typical Low $3.80 Median $8.32 Typical High $21.38 | Professional | None | $3.80 | $8.32 | $21.38 |
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 $4.27 Median $4.27 Typical High $4.27 | Facility | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $5.37 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.14 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.14 |
Where Minnesota sits
The same service costs 10.7 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· 2nd of 51
$48.98
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.