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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,388.44 | $4,365.16 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $9,332.54 | Facility | None | $3,090.30 | $3,235.94 | $9,332.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,570.40 | $2,884.03 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $11,481.54 Typical High $33,884.42 | Facility | None | $7,079.46 | $11,481.54 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $6,918.31 | Professional | None | $4,168.69 | $4,677.35 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $6,760.83 Median $11,220.18 Typical High $26,302.68 | Facility | None | $6,760.83 | $11,220.18 | $26,302.68 |
Health Partners Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,456.54 | Professional | None | $4,168.69 | $4,168.69 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $7,244.36 | Facility | None | $4,365.16 | $5,754.40 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $17,782.79 | Professional | None | $1,819.70 | $3,981.07 | $17,782.79 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,365.16 | Facility | None | $3,630.78 | $3,630.78 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $8,511.38 | Professional | None | $1,513.56 | $2,884.03 | $8,511.38 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $870.96 | Professional | 53 · Discontinued | $676.08 | $676.08 | $870.96 |
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· 28th of 51
$3,388
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.