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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | TC · Technical part | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $707.95 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $51.29 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $3,388.44 Typical High $3,388.44 | Professional | TC · Technical part | $776.25 | $3,388.44 | $3,388.44 |
BCBS Minnesota 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 Minnesota Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $85.11 | $114.82 | $165.96 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $97.72 | $151.36 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $104.71 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $4,570.88 | Facility | None | $1,000.00 | $1,584.89 | $4,570.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $173.78 Typical High $501.19 | Facility | 26 · Professional part | $109.65 | $173.78 | $501.19 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $1,412.54 Typical High $4,073.80 | Facility | TC · Technical part | $891.25 | $1,412.54 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $724.44 Typical High $1,513.56 | Professional | None (both parts) | $281.84 | $724.44 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $56.23 | $95.50 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $645.65 Typical High $1,348.96 | Professional | TC · Technical part | $223.87 | $645.65 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,548.82 Typical High $3,630.78 | Facility | None | $933.25 | $1,548.82 | $3,630.78 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $169.82 Typical High $398.11 | Facility | 26 · Professional part | $102.33 | $169.82 | $398.11 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,380.38 Typical High $3,235.94 | Facility | TC · Technical part | $831.76 | $1,380.38 | $3,235.94 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $691.83 | $691.83 | $1,348.96 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $75.86 | $75.86 | $147.91 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $1,202.26 | Professional | TC · Technical part | $616.60 | $616.60 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $812.83 Typical High $7,585.78 | Facility | None | $117.49 | $812.83 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $851.14 Median $4,897.79 Typical High $7,244.36 | Professional | None (both parts) | $851.14 | $4,897.79 | $7,244.36 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $151.36 Typical High $501.19 | Professional | 26 · Professional part | $63.10 | $151.36 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $4,786.30 Typical High $7,079.46 | Professional | TC · Technical part | $2,511.89 | $4,786.30 | $7,079.46 |
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 $588.84 Median $4,265.80 Typical High $8,912.51 | Professional | None (both parts) | $588.84 | $4,265.80 | $8,912.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $53.70 | $100.00 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $4,265.80 Typical High $8,709.64 | Professional | TC · Technical part | $549.54 | $4,265.80 | $8,709.64 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $354.81 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $141.25 | $676.08 | $676.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $2,238.72 Typical High $2,691.53 | Professional | FX · Film X-ray | $354.81 | $2,238.72 | $2,691.53 |
Where Minnesota sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 23rd of 51
$933
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.