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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $501.19 Typical High $524.81 | Facility | None | $229.09 | $501.19 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $501.19 | Professional | None | $407.38 | $457.09 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $4,677.35 | Facility | None | $1,000.00 | $1,621.81 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $977.24 | Professional | None | $588.84 | $660.69 | $977.24 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $3,715.35 | Facility | None | $954.99 | $1,584.89 | $3,715.35 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | None | $575.44 | $575.44 | $954.99 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $2,398.83 | Facility | None | $501.19 | $933.25 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $562.34 Typical High $2,511.89 | Professional | None | $257.04 | $562.34 | $2,511.89 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Facility | None | $501.19 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $1,122.02 | Professional | None | $213.80 | $457.09 | $1,122.02 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $95.50 | $120.23 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$501
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.