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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | None | $186.21 | $186.21 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $186.21 Median $199.53 Typical High $446.68 | Facility | None | $186.21 | $199.53 | $446.68 |
BCBS Minnesota Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $181.97 Typical High $199.53 | Professional | 59 · Distinct service | $158.49 | $181.97 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,862.09 | Facility | None | $398.11 | $645.65 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $389.05 | Professional | None | $234.42 | $263.03 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,479.11 | Facility | None | $380.19 | $616.60 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | None | $229.09 | $229.09 | $380.19 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $316.23 Typical High $398.11 | Facility | None | $239.88 | $316.23 | $398.11 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $1,000.00 | Professional | None | $102.33 | $223.87 | $1,000.00 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
United Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $467.74 | Professional | None | $83.18 | $158.49 | $467.74 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $38.02 | $47.86 |
Where Minnesota sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 15th of 51
$229
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.