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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $107.15 | $107.15 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $114.82 | Facility | None | $102.33 | $114.82 | $114.82 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $91.20 | $102.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $1,071.52 | Facility | None | $234.42 | $380.19 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $131.83 | $165.96 | $223.87 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $851.14 | Facility | None | $213.80 | $354.81 | $851.14 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $131.83 | $131.83 | $218.78 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $549.54 | Facility | None | $144.54 | $213.80 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $245.47 | Professional | None (both parts) | $58.88 | $102.33 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $47.86 | $114.82 | $269.15 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 26 · Professional part | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $21.38 | $27.54 |
Where Minnesota sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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· 18th of 51
$115
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.