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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $3,981.07 Typical High $9,549.93 | Facility | None | $1,905.46 | $3,981.07 | $9,549.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,445.44 | $1,949.84 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,380.38 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,511.89 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,995.26 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,412.54 | $2,238.72 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $6,606.93 | Professional | None | $1,148.15 | $1,949.84 | $6,606.93 |
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 $1,071.52 Median $1,862.09 Typical High $3,548.13 | Professional | None | $1,071.52 | $1,862.09 | $3,548.13 |
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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | 52 · Reduced service | $380.19 | $380.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | 53 · Discontinued | $151.36 | $151.36 | $208.93 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 3rd 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.