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 $131.83 Median $741.31 Typical High $1,445.44 | Facility | None | $131.83 | $741.31 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | None | $131.83 | $131.83 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $380.19 | Facility | None | $134.90 | $141.25 | $380.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None | $112.20 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $1,318.26 | Facility | None | $281.84 | $446.68 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $275.42 | Professional | None | $162.18 | $177.83 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $1,047.13 | Facility | None | $263.03 | $436.52 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None | $162.18 | $162.18 | $251.19 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $389.05 | Facility | None | $169.82 | $263.03 | $389.05 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $346.74 Typical High $1,148.15 | Professional | None | $141.25 | $346.74 | $1,148.15 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $85.11 Median $295.12 Typical High $416.87 | Professional | None | $85.11 | $295.12 | $416.87 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Minnesota sits
The same service costs 6.0 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· 10th of 51
$245
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.