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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None | $489.78 | $489.78 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $524.81 | Facility | None | $229.09 | $524.81 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $524.81 | Professional | None | $416.87 | $467.74 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $4,897.79 | Facility | None | $1,023.29 | $1,659.59 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,000.00 | Professional | None | $602.56 | $676.08 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,621.81 Typical High $3,801.89 | Facility | None | $977.24 | $1,621.81 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,000.00 | Professional | None | $602.56 | $602.56 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,047.13 | Facility | None | $630.96 | $831.76 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $575.44 Typical High $2,570.40 | Professional | None | $263.03 | $575.44 | $2,570.40 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Facility | None | $524.81 | $524.81 | $630.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $1,230.27 | Professional | None | $218.78 | $416.87 | $1,230.27 |
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 $245.47 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | 52 · Reduced service | $245.47 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 53 · Discontinued | $97.72 | $97.72 | $125.89 |
Where Minnesota sits
The same service costs 8.1 times more in Texas 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· 22nd of 51
$525
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.