How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,148 to $11,220Professionalmedian $5,248 · 10th to 90th $2,570 to $8,511
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,089.30 | $3,467.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $11,220.18 Typical High $22,908.68 | Facility | None | $4,265.80 | $11,220.18 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $7,943.28 | Professional | None | $3,981.07 | $5,370.32 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $11,481.54 | Facility | None | $3,890.45 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $6,918.31 Typical High $10,964.78 | Professional | None | $4,365.16 | $6,918.31 | $10,964.78 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,467.37 | $5,495.41 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $3,890.45 Median $6,309.57 Typical High $9,549.93 | Professional | None | $3,890.45 | $6,309.57 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $4,466.84 | Facility | None | $758.58 | $1,513.56 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $4,677.35 Typical High $18,197.01 | Professional | None | $2,570.40 | $4,677.35 | $18,197.01 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $4,466.84 Typical High $8,317.64 | Professional | None | $2,454.71 | $4,466.84 | $8,317.64 |
4 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 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | 53 · Discontinued | $426.58 | $426.58 | $707.95 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.