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 $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | None | $275.42 | $275.42 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $707.95 | Facility | None | $275.42 | $288.40 | $707.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $288.40 | Professional | None | $234.42 | $263.03 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $2,691.53 | Facility | None | $575.44 | $933.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $562.34 | Professional | None | $338.84 | $380.19 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,137.96 | Facility | None | $549.54 | $891.25 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $588.84 | Facility | None | $346.74 | $467.74 | $588.84 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $323.59 Typical High $1,445.44 | Professional | None | $147.91 | $323.59 | $1,445.44 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Facility | None | $288.40 | $288.40 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $676.08 | Professional | None | $123.03 | $234.42 | $676.08 |
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 $173.78 | Professional | 52 · Reduced service | $138.04 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $54.95 | $69.18 |
Where Minnesota sits
The same service costs 4.5 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· 25th of 51
$288
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.