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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | TC · Technical part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $134.90 | $158.49 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $53.70 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $104.71 | $151.36 |
BCBS Setting Facility Modifier None Typical Low $776.25 Median $5,128.61 Typical High $12,022.64 | Facility | None | $776.25 | $5,128.61 | $12,022.64 |
BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $251.19 | $331.13 | $478.63 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $114.82 | $165.96 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $1,548.82 | Facility | None | $338.84 | $537.03 | $1,548.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $537.03 | Facility | 26 · Professional part | $117.49 | $181.97 | $537.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $1,023.29 | Facility | TC · Technical part | $223.87 | $354.81 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $177.83 | $302.00 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $57.54 | $100.00 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $426.58 | Professional | TC · Technical part | $120.23 | $199.53 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $1,230.27 | Facility | None | $316.23 | $524.81 | $1,230.27 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $177.83 Typical High $416.87 | Facility | 26 · Professional part | $107.15 | $177.83 | $416.87 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $812.83 | Facility | TC · Technical part | $208.93 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $234.42 | $234.42 | $457.09 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $81.28 | $154.88 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $154.88 | $302.00 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $8,128.31 | Facility | None | $218.78 | $302.00 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $501.19 Typical High $3,090.30 | Professional | None (both parts) | $199.53 | $501.19 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $467.74 | Professional | 26 · Professional part | $63.10 | $154.88 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $331.13 Typical High $2,818.38 | Professional | TC · Technical part | $128.82 | $331.13 | $2,818.38 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $8,709.64 Typical High $11,220.18 | Facility | None | $7,943.28 | $8,709.64 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $162.18 | $302.00 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $54.95 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $107.15 | $204.17 | $363.08 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $67.61 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $50.12 | Professional | 53 · Discontinued | $26.92 | $31.62 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $123.03 Typical High $204.17 | Professional | FX · Film X-ray | $100.00 | $123.03 | $204.17 |
Where Minnesota sits
The same service costs 4.4 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· 10th of 51
$309
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.