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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,230.27 | $1,548.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $1,230.27 Typical High $1,318.26 | Facility | None | $229.09 | $1,230.27 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,174.90 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $4,168.69 Typical High $12,302.69 | Facility | None | $1,548.82 | $4,168.69 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,698.24 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $9,549.93 | Facility | None | $2,454.71 | $4,073.80 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,513.56 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $6,165.95 | Facility | None | $933.25 | $1,905.46 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $6,456.54 | Professional | None | $354.81 | $831.76 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,318.26 | $1,318.26 | $1,548.82 |
United Setting Professional Modifier None Typical Low $245.47 Median $588.84 Typical High $1,513.56 | Professional | None | $245.47 | $588.84 | $1,513.56 |
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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $776.25 | Professional | 52 · Reduced service | $616.60 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | 53 · Discontinued | $245.47 | $245.47 | $316.23 |
Where Minnesota sits
The same service costs 4.0 times more in Wisconsin 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· 3rd of 51
$1,318
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.