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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $363.08 | Facility | None | $323.59 | $363.08 | $363.08 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $288.40 | $323.59 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $3,388.44 | Facility | None | $741.31 | $1,148.15 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $416.87 | $478.63 | $707.95 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $2,630.27 | Facility | None | $676.08 | $1,122.02 | $2,630.27 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $416.87 | $416.87 | $645.65 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $724.44 | Facility | None | $436.52 | $575.44 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $407.38 Typical High $1,819.70 | Professional | None (both parts) | $186.21 | $407.38 | $1,819.70 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Facility | None | $363.08 | $363.08 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $851.14 | Professional | None (both parts) | $151.36 | $288.40 | $851.14 |
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 $338.84 Median $338.84 Typical High $338.84 | Facility | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | 53 · Discontinued | $67.61 | $67.61 | $87.10 |
Where Minnesota sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 10th of 51
$363
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.