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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,606.93 | Professional | None | $5,128.61 | $5,128.61 | $6,606.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,128.61 Median $5,495.41 Typical High $14,454.40 | Facility | None | $5,128.61 | $5,495.41 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $4,897.79 Typical High $5,370.32 | Professional | None | $4,365.16 | $4,897.79 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $17,378.01 Typical High $51,286.14 | Facility | None | $10,715.19 | $17,378.01 | $51,286.14 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,079.46 Typical High $10,471.29 | Professional | None | $6,309.57 | $7,079.46 | $10,471.29 |
Health Partners Setting Facility Modifier None Typical Low $10,232.93 Median $16,982.44 Typical High $39,810.72 | Facility | None | $10,232.93 | $16,982.44 | $39,810.72 |
Health Partners Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $9,772.37 | Professional | None | $6,309.57 | $6,309.57 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $6,606.93 Median $8,709.64 Typical High $10,964.78 | Facility | None | $6,606.93 | $8,709.64 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $26,915.35 | Professional | None | $2,818.38 | $5,495.41 | $26,915.35 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,456.54 | Facility | None | $5,370.32 | $5,370.32 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $4,897.79 Typical High $12,882.50 | Professional | None | $2,290.87 | $4,897.79 | $12,882.50 |
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | 52 · Reduced service | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 53 · Discontinued | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,570.40 Median $2,570.40 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,570.40 | $2,570.40 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,023.29 Typical High $1,318.26 | Professional | 53 · Discontinued | $1,023.29 | $1,023.29 | $1,318.26 |
Where Minnesota sits
The same service costs 6.2 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· 22nd of 51
$5,495
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.