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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $724.44 | Facility | None | $645.65 | $724.44 | $724.44 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $575.44 | $645.65 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $6,760.83 | Facility | None | $1,479.11 | $2,290.87 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $933.25 Typical High $1,412.54 | Professional | None (both parts) | $831.76 | $933.25 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $5,248.07 | Facility | None | $1,348.96 | $2,238.72 | $5,248.07 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,288.25 | Professional | None (both parts) | $831.76 | $831.76 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,445.44 | Facility | None | $870.96 | $1,148.15 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $812.83 Typical High $3,548.13 | Professional | None (both parts) | $363.08 | $812.83 | $3,548.13 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Facility | None | $724.44 | $724.44 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $575.44 Typical High $1,698.24 | Professional | None (both parts) | $302.00 | $575.44 | $1,698.24 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $436.52 | Professional | 52 · Reduced service | $338.84 | $338.84 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $134.90 | $173.78 |
Where Minnesota sits
The same service costs 10.2 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· 18th of 51
$724
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.