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 $165.96 Typical High $501.19 | Facility | None | $12.30 | $165.96 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $35.48 Typical High $67.61 | Professional | None | $11.75 | $35.48 | $67.61 |
BCBS Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | None | $91.20 | $107.15 | $131.83 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $109.65 Median $128.82 Typical High $165.96 | Professional | 22 · Increased work | $109.65 | $128.82 | $165.96 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $21.38 Typical High $27.54 | Professional | 55 · Aftercare only | $18.20 | $21.38 | $27.54 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $67.61 | $81.28 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $138.04 | Professional | None | $19.05 | $38.90 | $138.04 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $66.07 Typical High $134.90 | Facility | None | $12.30 | $66.07 | $134.90 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $93.33 Typical High $323.59 | Professional | None | $47.86 | $93.33 | $323.59 |
United Setting Professional Modifier None Typical Low $13.49 Median $37.15 Typical High $102.33 | Professional | None | $13.49 | $37.15 | $102.33 |
2 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 53 · Discontinued Typical Low $2.45 Median $2.57 Typical High $10.23 | Facility | 53 · Discontinued | $2.45 | $2.57 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $5.50 Typical High $10.47 | Professional | 53 · Discontinued | $2.45 | $5.50 | $10.47 |
Where North Dakota sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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.
North Dakota· 2nd of 51
$87.10
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.