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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None | $288.40 | $288.40 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $354.81 | Facility | None | $177.83 | $309.03 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $309.03 | Professional | None | $245.47 | $275.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $2,884.03 | Facility | None | $616.60 | $977.24 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | None | $354.81 | $407.38 | $602.56 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $2,238.72 | Facility | None | $575.44 | $954.99 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Professional | None | $354.81 | $354.81 | $549.54 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $616.60 | Facility | None | $371.54 | $489.78 | $616.60 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $1,548.82 | Professional | None | $158.49 | $346.74 | $1,548.82 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Facility | None | $309.03 | $309.03 | $371.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $724.44 | Professional | None | $128.82 | $245.47 | $724.44 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $57.54 | $74.13 |
Where Minnesota sits
The same service costs 4.6 times more in Texas 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· 23rd of 51
$309
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.