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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 26 · Professional part | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | TC · Technical part | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $100.00 | Professional | None (both parts) | $39.81 | $45.71 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $13.49 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $32.36 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $467.74 | Facility | None | $141.25 | $251.19 | $467.74 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $72.44 | $95.50 | $138.04 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $28.18 | $41.69 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $69.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $446.68 | Facility | None | $97.72 | $154.88 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $131.83 | Facility | 26 · Professional part | $28.84 | $44.67 | $131.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $316.23 | Facility | TC · Technical part | $69.18 | $109.65 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $147.91 | Professional | None (both parts) | $46.77 | $85.11 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $25.12 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $30.90 | $58.88 | $104.71 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $354.81 | Facility | None | $91.20 | $151.36 | $354.81 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $102.33 | Facility | 26 · Professional part | $26.30 | $43.65 | $102.33 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $251.19 | Facility | TC · Technical part | $64.57 | $107.15 | $251.19 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $67.61 | $67.61 | $131.83 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $19.95 | $38.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $47.86 | $93.33 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $275.42 | Facility | None | $66.07 | $81.28 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $51.29 | $112.20 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $17.38 | $39.81 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $79.43 Typical High $295.12 | Professional | TC · Technical part | $32.36 | $79.43 | $295.12 |
United Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $371.54 | Facility | None | $263.03 | $281.84 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $44.67 | $79.43 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $14.13 | $27.54 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $30.20 | $51.29 | $93.33 |
5 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 $22.91 Median $22.91 Typical High $22.91 | Facility | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $22.91 Typical High $33.88 | Professional | 52 · Reduced service | $19.50 | $22.91 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $13.49 | Professional | 53 · Discontinued | $7.76 | $9.12 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $33.11 Typical High $40.74 | Professional | FX · Film X-ray | $28.84 | $33.11 | $40.74 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska 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
$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.