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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Facility Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | RR · Rental | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | UE · Used equipment | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | RR · Rental | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $2,754.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $6,025.60 | Facility | None | $3,311.31 | $3,630.78 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $8,912.51 Median $13,489.63 Typical High $38,018.94 | Facility | None | $8,912.51 | $13,489.63 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $5,370.32 | Professional | None | $4,265.80 | $4,677.35 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $7,585.78 Median $12,589.25 Typical High $30,199.52 | Facility | None | $7,585.78 | $12,589.25 | $30,199.52 |
Health Partners Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $3,630.78 Typical High $7,413.10 | Facility | None | $100.00 | $3,630.78 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,801.89 Typical High $7,413.10 | Professional | None | $1,819.70 | $3,801.89 | $7,413.10 |
Medica Setting Professional Modifier RR · Rental Typical Low $288.40 Median $602.56 Typical High $1,174.90 | Professional | RR · Rental | $288.40 | $602.56 | $1,174.90 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $2,818.38 Typical High $5,495.41 | Professional | UE · Used equipment | $1,380.38 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $8,709.64 | Professional | None | $1,230.27 | $3,311.31 | $8,709.64 |
United Setting Professional Modifier RR · Rental Typical Low $190.55 Median $524.81 Typical High $1,380.38 | Professional | RR · Rental | $190.55 | $524.81 | $1,380.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $2,454.71 Typical High $6,606.93 | Professional | UE · Used equipment | $912.01 | $2,454.71 | $6,606.93 |
3 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 MS · Maintenance fee Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | MS · Maintenance fee | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | MS · Maintenance fee | $288.40 | $288.40 | $288.40 |
BCBS Minnesota Setting Professional Modifier MS · Maintenance fee + UE · Used equipment Typical Low $2,951.21 Median $3,388.44 Typical High $3,715.35 | Professional | MS · Maintenance fee + UE · Used equipment | $2,951.21 | $3,388.44 | $3,715.35 |
Where Minnesota sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 4th of 51
$3,631
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.