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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $1,000.00 | Facility | None | $288.40 | $302.00 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $302.00 | Professional | None | $245.47 | $275.42 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $2,818.38 | Facility | None | $602.56 | $977.24 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $588.84 | Professional | None | $354.81 | $398.11 | $588.84 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $2,238.72 | Facility | None | $575.44 | $933.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | None | $346.74 | $346.74 | $588.84 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $616.60 | Facility | None | $363.08 | $489.78 | $616.60 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $1,513.56 | Professional | None | $154.88 | $338.84 | $1,513.56 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Facility | None | $302.00 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $707.95 | Professional | None | $128.82 | $245.47 | $707.95 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $57.54 | $58.88 |
Where Minnesota sits
The same service costs 5.5 times more in Texas 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· 23rd of 51
$302
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.