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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None | $380.19 | $380.19 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $1,096.48 | Facility | None | $380.19 | $398.11 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $398.11 | Professional | None | $323.59 | $363.08 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $3,715.35 | Facility | None | $794.33 | $1,288.25 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $776.25 | Professional | None | $467.74 | $524.81 | $776.25 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,951.21 | Facility | None | $758.58 | $1,230.27 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | None | $457.09 | $457.09 | $776.25 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $954.99 | Facility | None | $478.63 | $645.65 | $954.99 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $1,995.26 | Professional | None | $239.88 | $446.68 | $1,995.26 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Facility | None | $398.11 | $398.11 | $478.63 |
United Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $933.25 | Professional | None | $169.82 | $331.13 | $933.25 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $75.86 | $95.50 |
Where Minnesota sits
The same service costs 3.8 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· 26th of 51
$398
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.