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 $22.91 Median $22.91 Typical High $323.59 | Facility | None | $22.91 | $22.91 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | None | $19.50 | $22.91 | $23.99 |
BCBS Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $501.19 | Facility | None | $158.49 | $309.03 | $501.19 |
BCBS Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $58.88 | Professional | None | $28.18 | $43.65 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $204.17 | Facility | None | $47.86 | $72.44 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $75.86 | Professional | None | $30.90 | $45.71 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $42.66 Median $67.61 Typical High $162.18 | Facility | None | $42.66 | $67.61 | $162.18 |
Health Partners Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $70.79 | Professional | None | $30.90 | $43.65 | $70.79 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $331.13 | Facility | None | $28.84 | $36.31 | $331.13 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $120.23 | Professional | None | $19.05 | $38.02 | $120.23 |
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 $19.05 Median $31.62 Typical High $63.10 | Professional | None | $19.05 | $31.62 | $63.10 |
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 $11.48 Median $11.48 Typical High $11.48 | Facility | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $10.00 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.07 | $4.57 | $4.57 |
Where Minnesota sits
The same service costs 2.3 times more in North Dakota 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· 2nd of 51
$39.81
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.