How much rates vary
Facilitymedian $2,512 · 10th to 90th $871 to $4,169Professionalmedian $708 · 10th to 90th $372 to $2,138
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 $870.96 Median $2,630.27 Typical High $4,570.88 | Facility | None | $870.96 | $2,630.27 | $4,570.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $114.82 | Facility | 26 · Professional part | $107.15 | $107.15 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $338.84 | Facility | TC · Technical part | $223.87 | $223.87 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $389.05 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $114.82 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $251.19 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $1,995.26 | Facility | None | $645.65 | $1,412.54 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $524.81 | $691.83 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $338.84 | Professional | 26 · Professional part | $173.78 | $229.09 | $338.84 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $346.74 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,754.23 | Facility | None | $758.58 | $1,122.02 | $2,754.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $380.19 Typical High $1,071.52 | Facility | 26 · Professional part | $251.19 | $380.19 | $1,071.52 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $776.25 Typical High $2,238.72 | Facility | TC · Technical part | $512.86 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $436.52 | $630.96 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $109.65 | $204.17 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $426.58 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,570.40 | Facility | None | $691.83 | $1,096.48 | $2,570.40 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $223.87 Median $354.81 Typical High $831.76 | Facility | 26 · Professional part | $223.87 | $354.81 | $831.76 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $741.31 Typical High $1,737.80 | Facility | TC · Technical part | $467.74 | $741.31 | $1,737.80 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $588.84 | $1,071.52 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $309.03 | Professional | 26 · Professional part | $162.18 | $186.21 | $309.03 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $389.05 | $741.31 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $4,365.16 | Facility | None | $851.14 | $1,380.38 | $4,365.16 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $2,187.76 Typical High $3,311.31 | Facility | TC · Technical part | $1,584.89 | $2,187.76 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,047.13 Typical High $6,165.95 | Professional | None (both parts) | $446.68 | $1,047.13 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $316.23 Typical High $912.01 | Professional | 26 · Professional part | $141.25 | $316.23 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $812.83 Typical High $5,495.41 | Professional | TC · Technical part | $302.00 | $812.83 | $5,495.41 |
United Setting Facility Modifier None Typical Low $891.25 Median $954.99 Typical High $1,258.93 | Facility | None | $891.25 | $954.99 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $371.54 | $691.83 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $199.53 Typical High $363.08 | Professional | 26 · Professional part | $114.82 | $199.53 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $251.19 | $478.63 | $891.25 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $371.54 | Professional | 52 · Reduced service | $165.96 | $165.96 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $147.91 | Professional | 53 · Discontinued | $66.07 | $66.07 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $323.59 Typical High $478.63 | Professional | FX · Film X-ray | $263.03 | $323.59 | $478.63 |
Where Minnesota sits
The same service costs 6.6 times more in Vermont 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· 4th of 51
$1,148
VT $1,349UT $204
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.