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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $630.96 | Facility | None | $575.44 | $630.96 | $630.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | None (both parts) | $512.86 | $575.44 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $5,888.44 | Facility | None | $1,288.25 | $2,041.74 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $831.76 Typical High $1,230.27 | Professional | None (both parts) | $741.31 | $831.76 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,202.26 | $1,995.26 | $4,677.35 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,122.02 | Professional | None (both parts) | $724.44 | $724.44 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,258.93 | Facility | None | $758.58 | $1,000.00 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $707.95 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $707.95 | $3,162.28 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $512.86 Typical High $1,479.11 | Professional | None (both parts) | $269.15 | $512.86 | $1,479.11 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where Minnesota sits
The same service costs 11.7 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· 19th of 51
$631
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.