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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | TC · Technical part | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $27.54 | $29.51 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $158.49 | Facility | None | $53.70 | $89.13 | $158.49 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $42.66 | $48.98 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $389.05 | Facility | None | $131.83 | $204.17 | $389.05 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $234.42 | Facility | 26 · Professional part | $79.43 | $123.03 | $234.42 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $158.49 | Facility | TC · Technical part | $52.48 | $81.28 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $89.13 | $93.33 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $56.23 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $35.48 | $38.02 | $44.67 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $331.13 | Facility | None | $117.49 | $190.55 | $331.13 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $112.20 Typical High $194.98 | Facility | 26 · Professional part | $70.79 | $112.20 | $194.98 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $75.86 Typical High $131.83 | Facility | TC · Technical part | $46.77 | $75.86 | $131.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $181.97 | Facility | None | $89.13 | $123.03 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $67.61 | $107.15 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $39.81 | $63.10 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $28.18 | $42.66 | $79.43 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $67.61 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $39.81 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $28.18 | $45.71 | $79.43 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.88 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Where Minnesota sits
The same service costs 14.8 times more in Texas 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· 14th of 51
$87.10
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.