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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,691.53 | $2,754.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $2,754.23 Typical High $2,884.03 | Facility | None | $229.09 | $2,754.23 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,290.87 | $2,570.40 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $9,120.11 Typical High $26,915.35 | Facility | None | $5,623.41 | $9,120.11 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,801.89 Typical High $5,623.41 | Professional | None | $3,311.31 | $3,801.89 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $8,912.51 Typical High $20,892.96 | Facility | None | $5,370.32 | $8,912.51 | $20,892.96 |
Health Partners Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $5,128.61 | Professional | None | $3,311.31 | $3,311.31 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $3,162.28 Median $4,265.80 Typical High $5,754.40 | Facility | None | $3,162.28 | $4,265.80 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $14,454.40 | Professional | None | $1,096.48 | $2,630.27 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Facility | None | $2,884.03 | $2,884.03 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $6,760.83 | Professional | None | $1,096.48 | $2,137.96 | $6,760.83 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 53 · Discontinued | $537.03 | $537.03 | $549.54 |
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· 16th of 51
$2,884
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.