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 $323.59 Median $323.59 Typical High $602.56 | Facility | None | $323.59 | $323.59 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | None | $323.59 | $323.59 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $933.25 | Facility | None | $331.13 | $346.74 | $933.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $346.74 | Professional | None | $275.42 | $309.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $3,235.94 | Facility | None | $691.83 | $1,096.48 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $676.08 | Professional | None | $398.11 | $457.09 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $2,511.89 | Facility | None | $645.65 | $1,071.52 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | None | $398.11 | $398.11 | $660.69 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $870.96 | Facility | None | $407.38 | $630.96 | $870.96 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $1,737.80 | Professional | None | $208.93 | $389.05 | $1,737.80 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $812.83 | Professional | None | $144.54 | $281.84 | $812.83 |
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 $162.18 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $64.57 | $83.18 |
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· 29th of 51
$347
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.