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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $707.95 | $707.95 | $912.01 |
BCBS Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $758.58 | Facility | None | $691.83 | $758.58 | $758.58 |
BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $758.58 | Professional | None (both parts) | $602.56 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $7,079.46 | Facility | None | $1,548.82 | $2,454.71 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,000.00 Typical High $1,479.11 | Professional | None (both parts) | $891.25 | $1,000.00 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $5,623.41 | Facility | None | $1,445.44 | $2,344.23 | $5,623.41 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $870.96 | $870.96 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,096.48 | $1,318.26 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $851.14 Typical High $3,801.89 | Professional | None (both parts) | $389.05 | $851.14 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $602.56 Typical High $1,778.28 | Professional | None (both parts) | $316.23 | $602.56 | $1,778.28 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $354.81 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $141.25 | $181.97 |
Where Minnesota sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$759
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.