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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $478.63 | Professional | None (both parts) | $316.23 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $158.49 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $95.50 | Professional | 53 · Discontinued | $63.10 | $85.11 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $562.34 Median $1,288.25 Typical High $3,235.94 | Facility | None | $562.34 | $1,288.25 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,548.82 | Facility | None | $891.25 | $1,023.29 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Facility | None | $794.33 | $794.33 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,174.90 | Facility | None | $537.03 | $537.03 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $891.25 Median $954.99 Typical High $1,258.93 | Facility | None | $891.25 | $954.99 | $1,258.93 |
2 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 Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $95.50 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $223.87 | $223.87 | $338.84 |
Where Minnesota sits
The same service costs 37.2 times more in Oklahoma than in Montana. 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· 28th of 51
$427
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.