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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,698.24 | $1,905.46 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,698.24 Typical High $1,905.46 | Professional | None (both parts) | $1,513.56 | $1,698.24 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $17,782.79 | Facility | None | $3,890.45 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,511.89 Typical High $3,715.35 | Professional | None (both parts) | $2,187.76 | $2,511.89 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $3,548.13 Median $5,888.44 Typical High $14,125.38 | Facility | None | $3,548.13 | $5,888.44 | $14,125.38 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $3,388.44 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,801.89 | Facility | None | $2,754.23 | $3,090.30 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,137.96 Typical High $9,549.93 | Professional | None (both parts) | $977.24 | $2,137.96 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,513.56 Typical High $4,466.84 | Professional | None (both parts) | $794.33 | $1,513.56 | $4,466.84 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 26 · Professional part | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 26 · Professional part | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
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· 20th of 51
$1,905
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.