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 $724.44 Typical High $1,230.27 | Facility | None | $134.90 | $724.44 | $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 $288.40 Median $467.74 Typical High $1,348.96 | Facility | None | $288.40 | $467.74 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $281.84 | Professional | None | $165.96 | $190.55 | $281.84 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $1,071.52 | Facility | None | $269.15 | $446.68 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | None | $165.96 | $165.96 | $275.42 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $1,202.26 | Facility | None | $173.78 | $288.40 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $1,096.48 | Professional | None | $125.89 | $281.84 | $1,096.48 |
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 $173.78 Typical High $380.19 | Professional | None | $87.10 | $173.78 | $380.19 |
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 $87.10 | Professional | 52 · Reduced service | $67.61 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $26.92 | $34.67 |
Where Minnesota sits
The same service costs 5.0 times more in Kansas 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· 12th of 51
$209
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.