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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $707.95 | $707.95 | $891.25 |
BCBS Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $758.58 | Facility | None | $676.08 | $758.58 | $758.58 |
BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $758.58 | Professional | None (both parts) | $602.56 | $676.08 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $7,079.46 | Facility | None | $1,513.56 | $2,454.71 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $5,495.41 | Facility | None | $1,412.54 | $2,344.23 | $5,495.41 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Professional | None (both parts) | $870.96 | $870.96 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $3,548.13 | Facility | None | $758.58 | $1,318.26 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $676.08 Typical High $1,584.89 | Professional | None (both parts) | $380.19 | $676.08 | $1,584.89 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $891.25 | Facility | None | $758.58 | $758.58 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $758.58 Typical High $1,778.28 | Professional | None (both parts) | $316.23 | $758.58 | $1,778.28 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 26 · Professional part | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $141.25 | $181.97 |
Where Minnesota sits
The same service costs 26.9 times more in Alaska 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· 12th of 51
$759
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.