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 $56.23 Median $295.12 Typical High $363.08 | Facility | None | $56.23 | $295.12 | $363.08 |
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 $25.12 Median $25.12 Typical High $25.12 | Facility | TC · Technical part | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $109.65 | Professional | None (both parts) | $28.18 | $33.11 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $7.59 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $25.12 | $41.69 |
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 $53.70 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $53.70 | $67.61 | $100.00 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $16.60 | $23.99 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $54.95 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $323.59 | Facility | None | $70.79 | $109.65 | $323.59 |
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 $53.70 Median $85.11 Typical High $245.47 | Facility | TC · Technical part | $53.70 | $85.11 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $56.23 Typical High $104.71 | Professional | None (both parts) | $28.84 | $56.23 | $104.71 |
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 $20.42 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $20.42 | $42.66 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $251.19 | Facility | None | $64.57 | $107.15 | $251.19 |
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 $50.12 Median $83.18 Typical High $194.98 | Facility | TC · Technical part | $50.12 | $83.18 | $194.98 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $48.98 | $48.98 | $95.50 |
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 $37.15 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $37.15 | $72.44 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $158.49 Typical High $288.40 | Facility | None | $57.54 | $158.49 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $33.11 | $93.33 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $22.91 Typical High $67.61 | Professional | 26 · Professional part | $9.55 | $22.91 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $60.26 Typical High $158.49 | Professional | TC · Technical part | $23.99 | $60.26 | $158.49 |
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 $30.20 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $30.20 | $51.29 | $100.00 |
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 $22.39 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $22.39 | $38.02 | $74.13 |
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 $16.22 Median $16.22 Typical High $16.22 | Facility | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $23.99 | Professional | 52 · Reduced service | $13.80 | $16.22 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.61 Typical High $9.55 | Professional | 53 · Discontinued | $5.50 | $6.61 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $23.99 Typical High $28.84 | Professional | FX · Film X-ray | $19.50 | $23.99 | $28.84 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 4th of 51
$74.13
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.