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 $446.68 Median $1,659.59 Typical High $2,511.89 | Facility | None | $446.68 | $1,659.59 | $2,511.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | 26 · Professional part | $69.18 | $69.18 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $199.53 | $239.88 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $77.62 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $144.54 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $457.09 Median $977.24 Typical High $1,288.25 | Facility | None | $457.09 | $977.24 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $316.23 | $407.38 | $616.60 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $147.91 | $218.78 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $275.42 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,621.81 | Facility | None | $457.09 | $691.83 | $1,621.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $245.47 Typical High $691.83 | Facility | 26 · Professional part | $162.18 | $245.47 | $691.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $1,288.25 | Facility | TC · Technical part | $295.12 | $446.68 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $257.04 | $380.19 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $131.83 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $758.58 | Professional | TC · Technical part | $169.82 | $245.47 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,548.82 | Facility | None | $416.87 | $660.69 | $1,548.82 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $144.54 Median $229.09 Typical High $537.03 | Facility | 26 · Professional part | $144.54 | $229.09 | $537.03 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $1,000.00 | Facility | TC · Technical part | $269.15 | $426.58 | $1,000.00 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $295.12 | $354.81 | $812.83 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $123.03 | $204.17 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $229.09 | $676.08 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,380.38 Typical High $2,818.38 | Facility | None | $457.09 | $1,380.38 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $645.65 Typical High $3,162.28 | Professional | None (both parts) | $263.03 | $645.65 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $199.53 Typical High $602.56 | Professional | 26 · Professional part | $85.11 | $199.53 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $457.09 Typical High $2,754.23 | Professional | TC · Technical part | $173.78 | $457.09 | $2,754.23 |
United Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $851.14 | Facility | None | $602.56 | $645.65 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $218.78 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $75.86 | $128.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $275.42 | $537.03 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $302.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $120.23 | Professional | 53 · Discontinued | $39.81 | $39.81 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $208.93 Typical High $478.63 | Professional | FX · Film X-ray | $158.49 | $208.93 | $478.63 |
Where Minnesota sits
The same service costs 6.5 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
$501
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.