How much rates vary
Facilitymedian $457 · 10th to 90th $123 to $794Professionalmedian $107 · 10th to 90th $55 to $174
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 $316.23 Median $501.19 Typical High $794.33 | Facility | None | $316.23 | $501.19 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $26.30 | Facility | 26 · Professional part | $23.99 | $23.99 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $28.18 | Facility | TC · Technical part | $19.05 | $19.05 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | None (both parts) | $42.66 | $42.66 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $23.99 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $19.05 | $30.90 |
BCBS Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $1,445.44 | Facility | None | $269.15 | $588.84 | $1,445.44 |
BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $85.11 | $107.15 | $154.88 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $63.10 | $91.20 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $47.86 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $234.42 | Facility | None | $79.43 | $123.03 | $234.42 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $131.83 | Facility | 26 · Professional part | $44.67 | $69.18 | $131.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $102.33 | Facility | TC · Technical part | $34.67 | $53.70 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $87.10 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $79.43 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $61.66 | $97.72 |
Health Partners Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $194.98 | Facility | None | $70.79 | $112.20 | $194.98 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $112.20 | Facility | 26 · Professional part | $39.81 | $63.10 | $112.20 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $85.11 | Facility | TC · Technical part | $30.20 | $48.98 | $85.11 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $79.43 | $125.89 | $194.98 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $72.44 | $109.65 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $54.95 | $85.11 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $346.74 Typical High $691.83 | Facility | None | $87.10 | $346.74 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $354.81 | Professional | None (both parts) | $54.95 | $102.33 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $35.48 | $63.10 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $41.69 Typical High $147.91 | Professional | TC · Technical part | $20.89 | $41.69 | $147.91 |
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 $53.70 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $53.70 | $97.72 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $20.42 | $39.81 | $72.44 |
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 $21.38 Median $21.38 Typical High $21.38 | Facility | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $11.48 | Professional | 53 · Discontinued | $8.71 | $8.71 | $11.48 |
Where Minnesota sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 1st of 51
$295
MN $295KY $45.71
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.