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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None | $257.04 | $257.04 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $660.69 | Facility | None | $263.03 | $275.42 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | None | $218.78 | $245.47 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,570.40 | Facility | None | $549.54 | $870.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $537.03 | Professional | None | $316.23 | $363.08 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,041.74 | Facility | None | $512.86 | $851.14 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $524.81 | Professional | None | $316.23 | $316.23 | $524.81 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $549.54 | Facility | None | $331.13 | $436.52 | $549.54 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $1,380.38 | Professional | None | $141.25 | $309.03 | $1,380.38 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $331.13 | Facility | None | $275.42 | $275.42 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $645.65 | Professional | None | $114.82 | $218.78 | $645.65 |
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 $128.82 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $51.29 | $66.07 |
Where Minnesota sits
The same service costs 5.0 times more in Texas than in Delaware. 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
$275
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.