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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,715.35 | Professional | None | $3,630.78 | $3,630.78 | $3,715.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $3,548.13 Typical High $3,801.89 | Facility | None | $229.09 | $3,548.13 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,388.44 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $12,302.69 Typical High $36,307.81 | Facility | None | $7,585.78 | $12,302.69 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $7,585.78 | Professional | None | $4,466.84 | $5,128.61 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $7,244.36 Median $12,022.64 Typical High $28,183.83 | Facility | None | $7,244.36 | $12,022.64 | $28,183.83 |
Health Partners Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,413.10 | Professional | None | $4,466.84 | $4,466.84 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $4,677.35 Median $6,165.95 Typical High $7,762.47 | Facility | None | $4,677.35 | $6,165.95 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,890.45 Typical High $19,498.45 | Professional | None | $1,737.80 | $3,890.45 | $19,498.45 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,890.45 | $3,890.45 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $3,090.30 Typical High $9,120.11 | Professional | None | $1,621.81 | $3,090.30 | $9,120.11 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 53 · Discontinued | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 53 · Discontinued | $724.44 | $724.44 | $741.31 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 20th of 51
$3,802
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.