How much rates vary
Facilitymedian $76 · 10th to 90th $50 to $219Professionalmedian $60 · 10th to 90th $48 to $100
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | TC · Technical part | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $25.70 | $26.30 | $26.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.90 Median $79.43 Typical High $125.89 | Facility | None | $38.90 | $79.43 | $125.89 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $42.66 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $537.03 | Facility | None | $125.89 | $190.55 | $537.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $229.09 | Facility | 26 · Professional part | $53.70 | $81.28 | $229.09 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $309.03 | Facility | TC · Technical part | $72.44 | $109.65 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $61.66 | $67.61 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $28.84 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $38.02 | $43.65 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $426.58 | Facility | None | $112.20 | $181.97 | $426.58 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $181.97 | Facility | 26 · Professional part | $48.98 | $77.62 | $181.97 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $245.47 | Facility | TC · Technical part | $64.57 | $102.33 | $245.47 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $104.71 | Facility | None | $63.10 | $81.28 | $104.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $100.00 Typical High $389.05 | Professional | None (both parts) | $47.86 | $100.00 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $48.98 Typical High $194.98 | Professional | 26 · Professional part | $23.44 | $48.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $51.29 Typical High $194.98 | Professional | TC · Technical part | $24.55 | $51.29 | $194.98 |
United Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $102.33 | Facility | None | $72.44 | $79.43 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $47.86 | $89.13 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $43.65 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $24.55 | $45.71 | $74.13 |
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 $25.12 Median $25.12 Typical High $25.12 | Facility | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Where Minnesota sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 17th of 51
$60.26
NE $105AR $25.12
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.