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 $120.23 Median $239.88 Typical High $380.19 | Facility | None | $120.23 | $239.88 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | 26 · Professional part | $7.59 | $7.59 | $8.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | TC · Technical part | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $85.11 | Professional | None (both parts) | $25.70 | $30.20 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $7.59 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $22.39 | $38.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $117.49 Median $218.78 Typical High $436.52 | Facility | None | $117.49 | $218.78 | $436.52 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $47.86 | $61.66 | $91.20 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $12.59 | $16.22 | $23.99 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $48.98 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $295.12 | Facility | None | $64.57 | $102.33 | $295.12 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $74.13 | Facility | 26 · Professional part | $16.22 | $25.12 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $223.87 | Facility | TC · Technical part | $47.86 | $75.86 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $28.18 | $53.70 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $13.80 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $40.74 Typical High $72.44 | Professional | TC · Technical part | $19.05 | $40.74 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $234.42 | Facility | None | $58.88 | $97.72 | $234.42 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $24.55 Typical High $57.54 | Facility | 26 · Professional part | $14.79 | $24.55 | $57.54 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $74.13 Typical High $173.78 | Facility | TC · Technical part | $44.67 | $74.13 | $173.78 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $44.67 | $44.67 | $87.10 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $11.22 | $21.88 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $33.88 | $33.88 | $64.57 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $281.84 | Facility | None | $69.18 | $147.91 | $281.84 |
Medica Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $331.13 | Facility | TC · Technical part | $165.96 | $223.87 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $30.20 | $83.18 | $186.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $23.44 Typical High $64.57 | Professional | 26 · Professional part | $10.00 | $23.44 | $64.57 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $53.70 Typical High $162.18 | Professional | TC · Technical part | $20.42 | $53.70 | $162.18 |
United Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $309.03 | Facility | None | $218.78 | $239.88 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $27.54 | $46.77 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $8.32 | $14.45 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $31.62 | $64.57 |
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 $15.14 Median $15.14 Typical High $15.14 | Facility | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $21.88 | Professional | 52 · Reduced service | $12.30 | $15.14 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.03 Typical High $8.71 | Professional | 53 · Discontinued | $5.01 | $6.03 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $21.88 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $21.88 | $26.30 |
Where Minnesota sits
The same service costs 11.2 times more in Vermont than in Florida. 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· 3rd 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.