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 $16.98 Median $151.36 Typical High $234.42 | Facility | None | $16.98 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $21.38 | Professional | None | $16.22 | $16.98 | $21.38 |
BCBS Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $47.86 | Facility | None | $16.98 | $17.78 | $47.86 |
BCBS Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | None | $14.45 | $16.22 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $57.54 Typical High $165.96 | Facility | None | $22.91 | $57.54 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $34.67 | Professional | None | $20.89 | $26.30 | $34.67 |
Health Partners Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $131.83 | Facility | None | $33.88 | $56.23 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $34.67 | Professional | None | $20.42 | $20.42 | $34.67 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $36.31 Typical High $141.25 | Facility | None | $21.38 | $36.31 | $141.25 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $17.78 Typical High $40.74 | Professional | None | $10.23 | $17.78 | $40.74 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $60.26 | Facility | None | $17.78 | $17.78 | $60.26 |
United Setting Professional Modifier None Typical Low $7.59 Median $16.60 Typical High $41.69 | Professional | None | $7.59 | $16.60 | $41.69 |
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 $8.51 Median $8.51 Typical High $8.51 | Facility | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $10.72 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.27 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.27 |
Where Minnesota sits
The same service costs 5.5 times more in Kansas than in Alabama. 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
$20.42
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.