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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,630.27 | $2,951.21 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,630.27 Typical High $2,951.21 | Professional | None (both parts) | $2,344.23 | $2,630.27 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $9,332.54 Typical High $27,542.29 | Facility | None | $5,888.44 | $9,332.54 | $27,542.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,801.89 Typical High $5,623.41 | Professional | None (both parts) | $3,388.44 | $3,801.89 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $5,495.41 Median $9,120.11 Typical High $21,379.62 | Facility | None | $5,495.41 | $9,120.11 | $21,379.62 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $5,248.07 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $5,888.44 | Facility | None | $3,467.37 | $4,677.35 | $5,888.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $3,235.94 Typical High $14,454.40 | Professional | None (both parts) | $1,479.11 | $3,235.94 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,467.37 | Facility | None | $2,951.21 | $2,951.21 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,344.23 Typical High $6,918.31 | Professional | None (both parts) | $1,230.27 | $2,344.23 | $6,918.31 |
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | 26 · Professional part | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | 26 · Professional part | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Where Minnesota sits
The same service costs 37.2 times more in Texas than in Ohio. 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· 12th of 51
$2,951
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.