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 $213.80 Median $645.65 Typical High $891.25 | Facility | None | $213.80 | $645.65 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $524.81 | Professional | None | $234.42 | $234.42 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $1,621.81 | Facility | None | $371.54 | $776.25 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $288.40 Median $776.25 Typical High $851.14 | Professional | None | $288.40 | $776.25 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $812.83 Typical High $2,290.87 | Facility | None | $537.03 | $812.83 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $794.33 | Professional | None | $346.74 | $436.52 | $794.33 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,819.70 | Facility | None | $478.63 | $758.58 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $707.95 | Professional | None | $346.74 | $346.74 | $707.95 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $1,174.90 | Facility | None | $407.38 | $776.25 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $1,548.82 | Professional | None | $295.12 | $524.81 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,380.38 | $1,513.56 | $1,995.26 |
United Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $831.76 | Professional | None | $275.42 | $489.78 | $831.76 |
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 $117.49 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $117.49 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $46.77 | $67.61 |
Where Minnesota sits
The same service costs 5.1 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.
Minnesota· 6th of 51
$562
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.