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 $302.00 Median $302.00 Typical High $575.44 | Facility | None | $302.00 | $302.00 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None | $302.00 | $302.00 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $794.33 | Facility | None | $309.03 | $323.59 | $794.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $323.59 | Professional | None | $257.04 | $295.12 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $3,019.95 | Facility | None | $645.65 | $1,047.13 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $630.96 | Professional | None | $380.19 | $426.58 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $2,398.83 | Facility | None | $616.60 | $1,000.00 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | None | $371.54 | $371.54 | $616.60 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $645.65 | Facility | None | $323.59 | $501.19 | $645.65 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $363.08 Typical High $1,621.81 | Professional | None | $165.96 | $363.08 | $1,621.81 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Facility | None | $323.59 | $323.59 | $389.05 |
United Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $758.58 | Professional | None | $134.90 | $257.04 | $758.58 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $61.66 | $77.62 |
Where Minnesota sits
The same service costs 4.2 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· 23rd of 51
$324
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.