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 $117.49 Median $275.42 Typical High $457.09 | Facility | None | $117.49 | $275.42 | $457.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.51 | Facility | 26 · Professional part | $7.94 | $7.94 | $8.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $28.84 | Facility | TC · Technical part | $26.92 | $26.92 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $141.25 | Professional | None (both parts) | $29.51 | $34.67 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $7.94 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $26.92 | $46.77 |
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 $56.23 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $56.23 | $72.44 | $104.71 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $16.98 | $25.12 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $60.26 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $338.84 | Facility | None | $74.13 | $117.49 | $338.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $26.30 Typical High $77.62 | Facility | 26 · Professional part | $16.98 | $26.30 | $77.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $263.03 | Facility | TC · Technical part | $57.54 | $91.20 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $30.20 | $60.26 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $14.45 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $21.88 | $45.71 | $87.10 |
Health Partners Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $269.15 | Facility | None | $69.18 | $114.82 | $269.15 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $25.70 Typical High $60.26 | Facility | 26 · Professional part | $15.49 | $25.70 | $60.26 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $208.93 | Facility | TC · Technical part | $53.70 | $89.13 | $208.93 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $51.29 | $51.29 | $100.00 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $11.75 | $22.91 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $39.81 | $77.62 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $199.53 Typical High $338.84 | Facility | None | $77.62 | $199.53 | $338.84 |
Medica Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $354.81 | Facility | TC · Technical part | $177.83 | $245.47 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $36.31 | $100.00 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $23.99 Typical High $67.61 | Professional | 26 · Professional part | $10.47 | $23.99 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $25.12 | $64.57 | $169.82 |
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 $32.36 Median $54.95 Typical High $107.15 | Professional | None (both parts) | $32.36 | $54.95 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.79 Typical High $26.92 | Professional | 26 · Professional part | $8.32 | $14.79 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $39.81 | $79.43 |
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 $17.38 Median $17.38 Typical High $17.38 | Facility | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.38 Typical High $25.70 | Professional | 52 · Reduced service | $14.45 | $17.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.92 Typical High $10.23 | Professional | 53 · Discontinued | $5.89 | $6.92 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $25.70 Typical High $30.20 | Professional | FX · Film X-ray | $20.42 | $25.70 | $30.20 |
Where Minnesota sits
The same service costs 12.9 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· 2nd of 51
$129
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.