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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $549.54 Median $602.56 Typical High $602.56 | Facility | None | $549.54 | $602.56 | $602.56 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $489.78 | $549.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $5,623.41 | Facility | None | $1,230.27 | $1,949.84 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $707.95 | $794.33 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $4,466.84 | Facility | None | $1,148.15 | $1,905.46 | $4,466.84 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,071.52 | Professional | None (both parts) | $691.83 | $691.83 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,230.27 | Facility | None | $724.44 | $977.24 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $676.08 Typical High $3,019.95 | Professional | None (both parts) | $309.03 | $676.08 | $3,019.95 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Facility | None | $602.56 | $602.56 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $489.78 Typical High $1,412.54 | Professional | None (both parts) | $257.04 | $489.78 | $1,412.54 |
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 $575.44 Median $575.44 Typical High $575.44 | Facility | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Where Minnesota sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 16th of 51
$603
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.