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 $43.65 Median $436.52 Typical High $794.33 | Facility | None | $43.65 | $436.52 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | TC · Technical part | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $20.42 | $43.65 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $8.13 | $14.79 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $11.75 | $28.84 | $41.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $912.01 Typical High $2,089.30 | Facility | None | $177.83 | $912.01 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $70.79 | $91.20 | $134.90 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $31.62 | $46.77 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $64.57 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $436.52 | Facility | None | $95.50 | $147.91 | $436.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $147.91 | Facility | 26 · Professional part | $32.36 | $50.12 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $288.40 | Facility | TC · Technical part | $61.66 | $97.72 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $25.12 | $70.79 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $9.55 | $23.99 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $45.71 Typical High $93.33 | Professional | TC · Technical part | $15.14 | $45.71 | $93.33 |
Health Partners Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $338.84 | Facility | None | $87.10 | $144.54 | $338.84 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $117.49 | Facility | 26 · Professional part | $29.51 | $48.98 | $117.49 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $223.87 | Facility | TC · Technical part | $57.54 | $95.50 | $223.87 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | None (both parts) | $66.07 | $66.07 | $125.89 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $22.39 | $43.65 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $42.66 | $83.18 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $120.23 Typical High $954.99 | Facility | None | $41.69 | $120.23 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.70 Median $114.82 Typical High $741.31 | Professional | None (both parts) | $25.70 | $114.82 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $12.02 | $45.71 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $69.18 Typical High $724.44 | Professional | TC · Technical part | $13.49 | $69.18 | $724.44 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,380.38 | $1,479.11 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $47.86 Typical High $138.04 | Professional | None (both parts) | $25.12 | $47.86 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $51.29 | Professional | 26 · Professional part | $10.47 | $17.78 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $30.20 Typical High $85.11 | Professional | TC · Technical part | $12.88 | $30.20 | $85.11 |
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 $21.88 Median $21.88 Typical High $21.88 | Facility | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $21.88 Typical High $32.36 | Professional | 52 · Reduced service | $16.60 | $21.88 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.71 Typical High $12.88 | Professional | 53 · Discontinued | $6.76 | $8.71 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $30.20 Typical High $38.90 | Professional | FX · Film X-ray | $15.14 | $30.20 | $38.90 |
Where Minnesota sits
The same service costs 9.3 times more in Alaska than in New York. 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· 3rd of 51
$89.13
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.