How much rates vary
Facilitymedian $2,138 · 10th to 90th $741 to $7,244Professionalmedian $1,905 · 10th to 90th $1,000 to $3,162
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None | $741.31 | $741.31 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $12,302.69 | Facility | None | $3,981.07 | $6,309.57 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,905.46 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,398.83 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,187.76 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $4,786.30 | Facility | None | $1,258.93 | $2,137.96 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,905.46 Typical High $6,456.54 | Professional | None | $1,047.13 | $1,905.46 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $3,467.37 | Professional | None | $1,047.13 | $1,778.28 | $3,467.37 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | 52 · Reduced service | $371.54 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | 53 · Discontinued | $147.91 | $147.91 | $199.53 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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 $7,351KY $2,168
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.