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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,344.23 | $2,570.40 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,290.87 Typical High $2,570.40 | Professional | None (both parts) | $2,041.74 | $2,290.87 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $8,317.64 Typical High $23,988.33 | Facility | None | $5,248.07 | $8,317.64 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,388.44 Typical High $5,011.87 | Professional | None (both parts) | $3,019.95 | $3,388.44 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $4,897.79 Median $7,943.28 Typical High $19,054.61 | Facility | None | $4,897.79 | $7,943.28 | $19,054.61 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $4,570.88 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $5,128.61 | Facility | None | $3,715.35 | $4,466.84 | $5,128.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,884.03 Typical High $12,882.50 | Professional | None (both parts) | $1,318.26 | $2,884.03 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $2,041.74 Typical High $6,025.60 | Professional | None (both parts) | $1,071.52 | $2,041.74 | $6,025.60 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | 26 · Professional part | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 26 · Professional part | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | 53 · Discontinued | $478.63 | $478.63 | $616.60 |
Where Minnesota sits
The same service costs 204.2 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· 13th of 51
$2,570
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.