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 $302.00 Median $302.00 Typical High $724.44 | Facility | None | $302.00 | $302.00 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | None | $251.19 | $302.00 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $223.87 Median $562.34 Typical High $1,380.38 | Facility | None | $223.87 | $562.34 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $257.04 | Professional | None | $181.97 | $229.09 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $2,344.23 | Facility | None | $549.54 | $831.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $831.76 | Professional | None | $416.87 | $537.03 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,862.09 | Facility | None | $489.78 | $776.25 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $776.25 | Professional | None | $398.11 | $416.87 | $776.25 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $794.33 | Facility | None | $323.59 | $416.87 | $794.33 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,548.82 | Professional | None | $269.15 | $537.03 | $1,548.82 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $870.96 | Professional | None | $251.19 | $446.68 | $870.96 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $51.29 | $60.26 | $60.26 |
Where Minnesota sits
The same service costs 2.8 times more in Nebraska than in Florida. 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· 7th of 51
$417
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.