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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,122.02 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,202.26 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,202.26 | Professional | None | $954.99 | $1,071.52 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $11,220.18 | Facility | None | $2,454.71 | $3,801.89 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,584.89 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $8,709.64 | Facility | None | $2,238.72 | $3,715.35 | $8,709.64 |
Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,380.38 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,862.09 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $6,025.60 | Professional | None | $588.84 | $1,202.26 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Facility | None | $1,202.26 | $1,202.26 | $1,445.44 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,047.13 Typical High $2,691.53 | Professional | None | $501.19 | $1,047.13 | $2,691.53 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | 52 · Reduced service | $562.34 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | 53 · Discontinued | $223.87 | $223.87 | $281.84 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska 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· 13th of 51
$1,202
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.