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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,951.21 | $2,951.21 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $7,585.78 | Facility | None | $2,951.21 | $3,090.30 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,511.89 | $2,818.38 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $10,000.00 Typical High $28,840.32 | Facility | None | $6,165.95 | $10,000.00 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $6,025.60 | Professional | None | $3,630.78 | $4,073.80 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $5,888.44 Median $9,549.93 Typical High $22,908.68 | Facility | None | $5,888.44 | $9,549.93 | $22,908.68 |
Health Partners Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $6,025.60 | Professional | None | $3,548.13 | $3,548.13 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $6,165.95 | Facility | None | $3,715.35 | $4,897.79 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $15,488.17 | Professional | None | $1,584.89 | $3,235.94 | $15,488.17 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,715.35 | Facility | None | $3,090.30 | $3,090.30 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $7,244.36 | Professional | None | $1,318.26 | $2,511.89 | $7,244.36 |
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 53 · Discontinued | $588.84 | $588.84 | $602.56 |
Where Minnesota sits
The same service costs 6.0 times more in Texas 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· 24th of 51
$3,090
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.