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 $346.74 Median $524.81 Typical High $524.81 | Facility | None | $346.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | None | $524.81 | $524.81 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $562.34 | Facility | None | $229.09 | $371.54 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | None | $302.00 | $338.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $5,248.07 | Facility | None | $1,096.48 | $1,778.28 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,071.52 | Professional | None | $645.65 | $724.44 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,047.13 | $1,698.24 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,071.52 | Professional | None | $645.65 | $645.65 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $812.83 Typical High $1,071.52 | Facility | None | $162.18 | $812.83 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $575.44 Typical High $2,754.23 | Professional | None | $281.84 | $575.44 | $2,754.23 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Facility | None | $562.34 | $562.34 | $660.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,318.26 | Professional | None | $234.42 | $446.68 | $1,318.26 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $104.71 | $104.71 | $134.90 |
Where Minnesota sits
The same service costs 4.6 times more in Kansas 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· 33rd of 51
$525
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.