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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | None | $602.56 | $602.56 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,548.82 | Facility | None | $616.60 | $645.65 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 59 · Distinct service Typical Low $512.86 Median $575.44 Typical High $645.65 | Professional | 59 · Distinct service | $512.86 | $575.44 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $6,025.60 | Facility | None | $1,258.93 | $2,041.74 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Professional | None | $741.31 | $831.76 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,202.26 | $1,995.26 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,148.15 | Professional | None | $741.31 | $741.31 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $933.25 Typical High $1,288.25 | Facility | None | $436.52 | $933.25 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $575.44 Typical High $3,235.94 | Professional | None | $147.91 | $575.44 | $3,235.94 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Facility | None | $645.65 | $645.65 | $776.25 |
United Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $1,513.56 | Professional | None | $147.91 | $389.05 | $1,513.56 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | 52 · Reduced service | $302.00 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $120.23 | $154.88 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 9th of 51
$741
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.