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 $134.90 Median $478.63 Typical High $1,230.27 | Facility | None | $134.90 | $478.63 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | None | $134.90 | $134.90 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $138.04 Median $144.54 Typical High $346.74 | Facility | None | $138.04 | $144.54 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | None | $114.82 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,348.96 | Facility | None | $281.84 | $457.09 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $281.84 | Professional | None | $165.96 | $181.97 | $281.84 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $1,047.13 | Facility | None | $269.15 | $446.68 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Professional | None | $165.96 | $165.96 | $257.04 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $741.31 | Facility | None | $120.23 | $251.19 | $741.31 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $309.03 Typical High $1,047.13 | Professional | None | $138.04 | $309.03 | $1,047.13 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $302.00 Typical High $416.87 | Professional | None | $87.10 | $302.00 | $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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 5.6 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· 5th of 51
$288
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.