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 Professional Modifier None (both parts) Typical Low $2,951.21 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $2,951.21 | $5,011.87 | $5,011.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,801.89 | $4,168.69 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,801.89 Typical High $4,168.69 | Professional | None (both parts) | $3,311.31 | $3,801.89 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $8,511.38 Median $13,489.63 Typical High $38,904.51 | Facility | None | $8,511.38 | $13,489.63 | $38,904.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $5,495.41 Typical High $8,128.31 | Professional | None (both parts) | $4,897.79 | $5,495.41 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $7,943.28 Median $12,882.50 Typical High $30,902.95 | Facility | None | $7,943.28 | $12,882.50 | $30,902.95 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $7,413.10 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $5,011.87 Median $6,606.93 Typical High $8,317.64 | Facility | None | $5,011.87 | $6,606.93 | $8,317.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $4,677.35 Typical High $20,892.96 | Professional | None (both parts) | $2,137.96 | $4,677.35 | $20,892.96 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,011.87 | Facility | None | $4,168.69 | $4,168.69 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,311.31 Typical High $9,772.37 | Professional | None (both parts) | $1,737.80 | $3,311.31 | $9,772.37 |
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | 26 · Professional part | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | 26 · Professional part | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Where Minnesota sits
The same service costs 67.6 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· 9th of 51
$4,786
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.