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 $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $4,897.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $5,248.07 Typical High $5,248.07 | Facility | None | $4,677.35 | $5,248.07 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,677.35 Typical High $5,248.07 | Professional | None (both parts) | $4,168.69 | $4,677.35 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $16,595.87 Typical High $48,977.88 | Facility | None | $10,715.19 | $16,595.87 | $48,977.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,918.31 Typical High $10,232.93 | Professional | None (both parts) | $6,025.60 | $6,918.31 | $10,232.93 |
Health Partners Setting Facility Modifier None Typical Low $9,772.37 Median $16,218.10 Typical High $38,018.94 | Facility | None | $9,772.37 | $16,218.10 | $38,018.94 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $9,332.54 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $9,332.54 |
Medica Setting Facility Modifier None Typical Low $7,585.78 Median $9,120.11 Typical High $10,471.29 | Facility | None | $7,585.78 | $9,120.11 | $10,471.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $5,888.44 Typical High $26,302.68 | Professional | None (both parts) | $2,691.53 | $5,888.44 | $26,302.68 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $4,168.69 Typical High $12,302.69 | Professional | None (both parts) | $2,187.76 | $4,168.69 | $12,302.69 |
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 $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | 26 · Professional part | $4,897.79 | $4,897.79 | $4,897.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 53 · Discontinued | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | 26 · Professional part | $4,897.79 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,454.71 Median $2,454.71 Typical High $3,162.28 | Professional | 52 · Reduced service | $2,454.71 | $2,454.71 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | 53 · Discontinued | $977.24 | $977.24 | $1,258.93 |
Where Minnesota sits
The same service costs 416.9 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· 16th of 51
$5,248
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.