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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | None | $549.54 | $549.54 | $707.95 |
BCBS Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $1,584.89 | Facility | None | $549.54 | $588.84 | $1,584.89 |
BCBS Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $588.84 | Professional | None | $467.74 | $524.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,148.15 | $1,862.09 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,122.02 | Professional | None | $676.08 | $758.58 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,819.70 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,122.02 | Professional | None | $676.08 | $676.08 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,230.27 | Facility | None | $707.95 | $933.25 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $2,951.21 | Professional | None | $354.81 | $660.69 | $2,951.21 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Facility | None | $588.84 | $588.84 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $1,380.38 | Professional | None | $245.47 | $467.74 | $1,380.38 |
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 $275.42 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | 52 · Reduced service | $275.42 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 53 · Discontinued | $109.65 | $109.65 | $141.25 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska 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
$589
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.