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 $275.42 Median $275.42 Typical High $1,122.02 | Facility | None | $275.42 | $275.42 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $794.33 | Facility | None | $281.84 | $295.12 | $794.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $295.12 | Professional | None | $234.42 | $263.03 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $2,754.23 | Facility | None | $588.84 | $954.99 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $575.44 | Professional | None | $338.84 | $389.05 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $2,187.76 | Facility | None | $549.54 | $912.01 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $562.34 | Professional | None | $338.84 | $338.84 | $562.34 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,000.00 | Facility | None | $354.81 | $549.54 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $1,479.11 | Professional | None | $177.83 | $331.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $691.83 | Professional | None | $123.03 | $239.88 | $691.83 |
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 $138.04 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $56.23 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 25th of 51
$295
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.