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 $141.25 Median $660.69 Typical High $812.83 | Facility | None | $141.25 | $660.69 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | TC · Technical part | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $120.23 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $41.69 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $97.72 | $141.25 |
BCBS Setting Facility Modifier None Typical Low $234.42 Median $416.87 Typical High $676.08 | Facility | None | $234.42 | $416.87 | $676.08 |
BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $223.87 | $288.40 | $426.58 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $89.13 | $131.83 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $208.93 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,380.38 | Facility | None | $302.00 | $478.63 | $1,380.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $141.25 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $977.24 | Facility | TC · Technical part | $213.80 | $331.13 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $123.03 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $37.15 | $74.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $173.78 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $1,096.48 | Facility | None | $281.84 | $467.74 | $1,096.48 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $138.04 Typical High $331.13 | Facility | 26 · Professional part | $83.18 | $138.04 | $331.13 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $323.59 Typical High $758.58 | Facility | TC · Technical part | $194.98 | $323.59 | $758.58 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $208.93 | $208.93 | $407.38 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $63.10 | $123.03 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $147.91 | $281.84 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $630.96 | Facility | None | $144.54 | $323.59 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $354.81 Typical High $933.25 | Professional | None (both parts) | $141.25 | $354.81 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $44.67 | $117.49 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $239.88 Typical High $660.69 | Professional | TC · Technical part | $104.71 | $239.88 | $660.69 |
United Setting Facility Modifier None Typical Low $446.68 Median $478.63 Typical High $630.96 | Facility | None | $446.68 | $478.63 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $134.90 | $218.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $144.54 | Professional | 26 · Professional part | $40.74 | $63.10 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $158.49 | $295.12 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $60.26 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | FX · Film X-ray | $87.10 | $102.33 | $125.89 |
Where Minnesota sits
The same service costs 3.9 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
$269
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.