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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $794.33 | Facility | None | $724.44 | $794.33 | $794.33 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | None (both parts) | $630.96 | $707.95 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $7,413.10 | Facility | None | $1,621.81 | $2,570.40 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,047.13 Typical High $1,548.82 | Professional | None (both parts) | $912.01 | $1,047.13 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $5,888.44 | Facility | None | $1,479.11 | $2,454.71 | $5,888.44 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,412.54 | Professional | None (both parts) | $912.01 | $912.01 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,584.89 | Facility | None | $954.99 | $1,258.93 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $891.25 Typical High $3,981.07 | Professional | None (both parts) | $407.38 | $891.25 | $3,981.07 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Facility | None | $794.33 | $794.33 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $630.96 Typical High $1,862.09 | Professional | None (both parts) | $331.13 | $630.96 | $1,862.09 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 26 · Professional part | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 26 · Professional part | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Where Minnesota sits
The same service costs 12.0 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· 21st of 51
$794
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.