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 $12.30 Median $46.77 Typical High $67.61 | Facility | None | $12.30 | $46.77 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $26.30 | Professional | None | $12.02 | $12.30 | $26.30 |
BCBS Setting Facility Modifier None Typical Low $12.30 Median $13.18 Typical High $91.20 | Facility | None | $12.30 | $13.18 | $91.20 |
BCBS Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $13.18 | Professional | None | $10.47 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $40.74 Typical High $120.23 | Facility | None | $16.60 | $40.74 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | None | $15.14 | $19.05 | $25.12 |
Health Partners Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $95.50 | Facility | None | $24.55 | $40.74 | $95.50 |
Health Partners Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | None | $14.79 | $14.79 | $24.55 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $33.88 Typical High $123.03 | Facility | None | $14.13 | $33.88 | $123.03 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $14.45 Typical High $53.70 | Professional | None | $7.41 | $14.45 | $53.70 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Facility | None | $13.18 | $13.18 | $15.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $12.02 Typical High $30.90 | Professional | None | $5.50 | $12.02 | $30.90 |
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 $6.17 Median $6.17 Typical High $6.17 | Facility | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.16 |
Where Minnesota sits
The same service costs 10.2 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· 18th of 51
$15.49
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.