How much rates vary
Facilitymedian $447 · 10th to 90th $214 to $1,230Professionalmedian $457 · 10th to 90th $240 to $871
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | TC · Technical part | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $213.80 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $138.04 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $1,778.28 | Facility | None | $323.59 | $851.14 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $338.84 | $436.52 | $724.44 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $128.82 | $162.18 | $263.03 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $208.93 | $281.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,023.29 | Facility | None | $346.74 | $537.03 | $1,023.29 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $354.81 | Facility | 26 · Professional part | $120.23 | $186.21 | $354.81 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $676.08 | Facility | TC · Technical part | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $398.11 | $616.60 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | 26 · Professional part | $138.04 | $218.78 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $257.04 | $407.38 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | None | $309.03 | $501.19 | $870.96 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $302.00 | Facility | 26 · Professional part | $107.15 | $173.78 | $302.00 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $323.59 Typical High $575.44 | Facility | TC · Technical part | $204.17 | $323.59 | $575.44 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $346.74 | $562.34 | $851.14 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $120.23 | $194.98 | $295.12 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $371.54 | $562.34 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,445.44 | Facility | None | $125.89 | $389.05 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $1,698.24 | Professional | None (both parts) | $239.88 | $478.63 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $169.82 Typical High $588.84 | Professional | 26 · Professional part | $91.20 | $169.82 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $1,122.02 | Professional | TC · Technical part | $154.88 | $309.03 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $234.42 | $446.68 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $158.49 Typical High $309.03 | Professional | 26 · Professional part | $85.11 | $158.49 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $147.91 | $288.40 | $575.44 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $42.66 | $51.29 |
Where Minnesota sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 5th of 51
$457
WI $708UT $135
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.