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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,019.95 | $3,548.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $7,943.28 | Facility | None | $3,090.30 | $3,235.94 | $7,943.28 |
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 $6,456.54 Median $10,471.29 Typical High $30,199.52 | Facility | None | $6,456.54 | $10,471.29 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $6,309.57 | Professional | None | $3,801.89 | $4,265.80 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $6,165.95 Median $10,000.00 Typical High $23,988.33 | Facility | None | $6,165.95 | $10,000.00 | $23,988.33 |
Health Partners Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $6,025.60 | Professional | None | $3,715.35 | $3,715.35 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $6,456.54 | Facility | None | $3,890.45 | $5,128.61 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $3,235.94 Typical High $16,218.10 | Professional | None | $1,445.44 | $3,235.94 | $16,218.10 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,890.45 | Facility | None | $3,235.94 | $3,235.94 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $7,585.78 | Professional | None | $1,348.96 | $2,570.40 | $7,585.78 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 53 · Discontinued | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | 53 · Discontinued | $602.56 | $602.56 | $707.95 |
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· 18th of 51
$3,236
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.