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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,905.46 | $2,137.96 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,905.46 Typical High $2,137.96 | Professional | None (both parts) | $1,698.24 | $1,905.46 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $19,952.62 | Facility | None | $4,365.16 | $6,760.83 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,754.23 Typical High $4,168.69 | Professional | None (both parts) | $2,454.71 | $2,754.23 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $15,488.17 | Facility | None | $3,981.07 | $6,606.93 | $15,488.17 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $3,801.89 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,090.30 | $3,715.35 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,398.83 Typical High $10,471.29 | Professional | None (both parts) | $1,096.48 | $2,398.83 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,698.24 Typical High $5,011.87 | Professional | None (both parts) | $891.25 | $1,698.24 | $5,011.87 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 26 · Professional part | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | 26 · Professional part | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Where Minnesota sits
The same service costs 229.1 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· 16th of 51
$2,138
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.