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 $6.31 Median $316.23 Typical High $954.99 | Facility | None | $6.31 | $316.23 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
BCBS Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $512.86 | Facility | None | $138.04 | $257.04 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $15.85 | Professional | None | $9.12 | $12.88 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $19.05 Typical High $53.70 | Facility | None | $12.59 | $19.05 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $17.78 | Professional | None | $9.77 | $15.85 | $17.78 |
Health Partners Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $42.66 | Facility | None | $11.22 | $17.78 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $16.60 | Professional | None | $8.32 | $15.85 | $16.60 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $24.55 Typical High $426.58 | Facility | None | $10.00 | $24.55 | $426.58 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $12.30 Typical High $426.58 | Professional | None | $6.31 | $12.30 | $426.58 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $5.62 Median $10.47 Typical High $18.20 | Professional | None | $5.62 | $10.47 | $18.20 |
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 $3.16 Median $3.16 Typical High $3.16 | Facility | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $2.82 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.12 | $1.26 | $1.26 |
Where Minnesota sits
The same service costs 3.9 times more in Indiana than in New York. 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· 6th of 51
$14.13
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.