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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $5,754.40 | Professional | None | $4,073.80 | $4,466.84 | $5,754.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $4,570.88 Typical High $4,786.30 | Facility | None | $229.09 | $4,570.88 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $4,786.30 | Professional | None | $3,801.89 | $4,265.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $15,135.61 Typical High $44,668.36 | Facility | None | $5,754.40 | $15,135.61 | $44,668.36 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,309.57 Typical High $9,332.54 | Professional | None | $5,495.41 | $6,309.57 | $9,332.54 |
Health Partners Setting Facility Modifier None Typical Low $8,912.51 Median $14,791.08 Typical High $35,481.34 | Facility | None | $8,912.51 | $14,791.08 | $35,481.34 |
Health Partners Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $9,120.11 | Professional | None | $5,495.41 | $5,495.41 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $4,786.30 Median $7,585.78 Typical High $22,908.68 | Facility | None | $4,786.30 | $7,585.78 | $22,908.68 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $23,988.33 | Professional | None | $2,454.71 | $4,786.30 | $23,988.33 |
United Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,754.40 | Facility | None | $4,786.30 | $4,786.30 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $4,265.80 Typical High $10,715.19 | Professional | None | $1,995.26 | $4,265.80 | $10,715.19 |
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | 52 · Reduced service | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 53 · Discontinued | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Professional | 52 · Reduced service | $2,238.72 | $2,238.72 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | 53 · Discontinued | $891.25 | $891.25 | $1,148.15 |
Where Minnesota sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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· 18th of 51
$4,786
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.