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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,398.83 | $2,630.27 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,398.83 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,398.83 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $8,511.38 Typical High $24,547.09 | Facility | None | $5,370.32 | $8,511.38 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,467.37 Typical High $5,128.61 | Professional | None (both parts) | $3,090.30 | $3,467.37 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $19,498.45 | Facility | None | $5,011.87 | $8,317.64 | $19,498.45 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $4,677.35 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $5,248.07 | Facility | None | $3,162.28 | $4,168.69 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,951.21 Typical High $13,182.57 | Professional | None (both parts) | $1,348.96 | $2,951.21 | $13,182.57 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,162.28 | Facility | None | $2,630.27 | $2,630.27 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,137.96 Typical High $6,165.95 | Professional | None (both parts) | $1,122.02 | $2,137.96 | $6,165.95 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | 26 · Professional part | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 26 · Professional part | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | 53 · Discontinued | $501.19 | $501.19 | $630.96 |
Where Minnesota sits
The same service costs 31.6 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· 20th of 51
$2,630
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.