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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $870.96 Typical High $891.25 | Facility | None | $229.09 | $870.96 | $891.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $891.25 | Professional | None | $724.44 | $812.83 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $8,317.64 | Facility | None | $1,778.28 | $2,884.03 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,174.90 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,698.24 | $2,754.23 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | None | $1,023.29 | $1,023.29 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,995.26 | Facility | None | $1,071.52 | $1,445.44 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,000.00 Typical High $4,466.84 | Professional | None | $457.09 | $1,000.00 | $4,466.84 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Facility | None | $891.25 | $891.25 | $1,071.52 |
United Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $2,089.30 | Professional | None | $380.19 | $724.44 | $2,089.30 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $173.78 |
Where Minnesota sits
The same service costs 5.1 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· 21st of 51
$891
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.