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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,148.15 Typical High $2,691.53 | Professional | None (both parts) | $933.25 | $1,148.15 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,202.26 | $1,348.96 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,202.26 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,202.26 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $12,589.25 | Facility | None | $2,754.23 | $4,265.80 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,737.80 Typical High $2,570.40 | Professional | None (both parts) | $1,548.82 | $1,737.80 | $2,570.40 |
Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $9,772.37 | Facility | None | $2,511.89 | $4,168.69 | $9,772.37 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $2,398.83 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,949.84 | $2,344.23 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,479.11 Typical High $6,606.93 | Professional | None (both parts) | $676.08 | $1,479.11 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,071.52 Typical High $3,162.28 | Professional | None (both parts) | $562.34 | $1,071.52 | $3,162.28 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $251.19 | $323.59 |
Where Minnesota sits
The same service costs 104.7 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· 9th of 51
$1,479
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.