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 $50.12 Median $61.66 Typical High $61.66 | Facility | None | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $61.66 | Professional | None | $50.12 | $51.29 | $61.66 |
BCBS Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $281.84 | Facility | None | $85.11 | $93.33 | $281.84 |
BCBS Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $138.04 | Professional | None | $48.98 | $67.61 | $138.04 |
BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $38.90 Median $54.95 Typical High $109.65 | Professional | 25 · Same-day visit | $38.90 | $54.95 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $616.60 | Facility | None | $141.25 | $213.80 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | None | $112.20 | $141.25 | $173.78 |
Health Partners Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $478.63 | Facility | None | $123.03 | $204.17 | $478.63 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | None | $112.20 | $112.20 | $165.96 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $138.04 | Facility | None | $77.62 | $95.50 | $138.04 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $323.59 Typical High $371.54 | Professional | None | $85.11 | $323.59 | $371.54 |
United Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $194.98 | Professional | None | $58.88 | $109.65 | $194.98 |
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 52 · Reduced service Typical Low $25.12 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $25.12 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.70 Typical High $30.20 | Professional | 52 · Reduced service | $25.12 | $25.70 | $30.20 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska than in Indiana. 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· 5th of 51
$85.11
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.