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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,398.83 Typical High $4,265.80 | Professional | None (both parts) | $1,380.38 | $2,398.83 | $4,265.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,778.28 | $1,949.84 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,737.80 Typical High $1,949.84 | Professional | None (both parts) | $1,548.82 | $1,737.80 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $18,197.01 | Facility | None | $3,981.07 | $6,309.57 | $18,197.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,570.40 Typical High $3,801.89 | Professional | None (both parts) | $2,238.72 | $2,570.40 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $3,630.78 Median $6,025.60 Typical High $14,454.40 | Facility | None | $3,630.78 | $6,025.60 | $14,454.40 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $3,467.37 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,344.23 | $3,090.30 | $3,890.45 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $2,187.76 Typical High $9,772.37 | Professional | None (both parts) | $1,000.00 | $2,187.76 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Facility | None | $1,949.84 | $1,949.84 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,548.82 Typical High $4,570.88 | Professional | None (both parts) | $812.83 | $1,548.82 | $4,570.88 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 26 · Professional part | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 26 · Professional part | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $363.08 | $467.74 |
Where Minnesota sits
The same service costs 16.6 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· 10th of 51
$2,188
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.