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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | None | $316.23 | $316.23 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $446.68 | Facility | None | $229.09 | $338.84 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | None | $269.15 | $302.00 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $3,162.28 | Facility | None | $676.08 | $1,071.52 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $660.69 | Professional | None | $389.05 | $446.68 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $2,511.89 | Facility | None | $630.96 | $1,047.13 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Professional | None | $389.05 | $389.05 | $602.56 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $676.08 | Facility | None | $338.84 | $489.78 | $676.08 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $302.00 Typical High $1,698.24 | Professional | None | $66.07 | $302.00 | $1,698.24 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Facility | None | $338.84 | $338.84 | $407.38 |
United Setting Professional Modifier None Typical Low $66.07 Median $204.17 Typical High $794.33 | Professional | None | $66.07 | $204.17 | $794.33 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $63.10 | $63.10 | $64.57 |
Where Minnesota sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 12th of 51
$339
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.