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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,677.35 Median $4,677.35 Typical High $4,786.30 | Professional | None (both parts) | $4,677.35 | $4,677.35 | $4,786.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $5,011.87 | Facility | None | $4,466.84 | $5,011.87 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,466.84 Typical High $5,011.87 | Professional | None (both parts) | $3,981.07 | $4,466.84 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $15,848.93 Typical High $46,773.51 | Facility | None | $10,232.93 | $15,848.93 | $46,773.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $6,606.93 Typical High $9,772.37 | Professional | None (both parts) | $5,754.40 | $6,606.93 | $9,772.37 |
Health Partners Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $37,153.52 | Facility | None | $9,332.54 | $15,488.17 | $37,153.52 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $5,754.40 Typical High $8,912.51 | Professional | None (both parts) | $5,754.40 | $5,754.40 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $7,244.36 Median $8,128.31 Typical High $10,000.00 | Facility | None | $7,244.36 | $8,128.31 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $5,623.41 Typical High $25,118.86 | Professional | None (both parts) | $2,570.40 | $5,623.41 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,981.07 Typical High $11,748.98 | Professional | None (both parts) | $2,089.30 | $3,981.07 | $11,748.98 |
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | 26 · Professional part | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 52 · Reduced service | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 53 · Discontinued | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | 26 · Professional part | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,344.23 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Professional | 53 · Discontinued | $933.25 | $933.25 | $1,202.26 |
Where Minnesota sits
The same service costs 12.0 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· 14th of 51
$5,012
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.