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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $302.00 | Professional | None | $257.04 | $275.42 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $1,047.13 Typical High $2,290.87 | Facility | None | $416.87 | $1,047.13 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $758.58 | Professional | None | $295.12 | $416.87 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $2,511.89 | Facility | None | $575.44 | $870.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $870.96 | Professional | None | $416.87 | $549.54 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,949.84 | Facility | None | $524.81 | $831.76 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $812.83 | Professional | None | $416.87 | $446.68 | $812.83 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $575.44 | Facility | None | $346.74 | $446.68 | $575.44 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $776.25 Typical High $1,584.89 | Professional | None | $331.13 | $776.25 | $1,584.89 |
United Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $912.01 | Professional | None | $275.42 | $489.78 | $912.01 |
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 $134.90 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $134.90 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $54.95 | $56.23 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska 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
$447
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.