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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $112.20 | Facility | None | $102.33 | $112.20 | $112.20 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $89.13 | $100.00 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $1,047.13 | Facility | None | $229.09 | $371.54 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $128.82 | $162.18 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $812.83 | Facility | None | $208.93 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $128.82 | $128.82 | $213.80 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $537.03 | Facility | None | $112.20 | $194.98 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $57.54 | $100.00 | $239.88 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Facility | None | $112.20 | $112.20 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $112.20 Typical High $263.03 | Professional | None (both parts) | $46.77 | $112.20 | $263.03 |
6 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 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.92 |
Where Minnesota sits
The same service costs 15.5 times more in Alaska 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· 19th of 51
$112
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.