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 $331.13 Median $524.81 Typical High $741.31 | Facility | None | $331.13 | $524.81 | $741.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $31.62 | Facility | 26 · Professional part | $30.20 | $30.20 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $75.86 | Facility | TC · Technical part | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $95.50 | $102.33 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $30.20 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $72.44 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $758.58 | Facility | None | $141.25 | $331.13 | $758.58 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $162.18 | $213.80 | $309.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $63.10 | $93.33 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $154.88 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,023.29 | Facility | None | $234.42 | $354.81 | $1,023.29 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $302.00 | Facility | 26 · Professional part | $69.18 | $104.71 | $302.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $707.95 | Facility | TC · Technical part | $165.96 | $251.19 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $100.00 | $173.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $50.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $123.03 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $794.33 | Facility | None | $213.80 | $338.84 | $794.33 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $234.42 | Facility | 26 · Professional part | $63.10 | $100.00 | $234.42 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $562.34 | Facility | TC · Technical part | $151.36 | $239.88 | $562.34 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $154.88 | $154.88 | $295.12 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $44.67 | $87.10 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $107.15 | $208.93 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $616.60 | Facility | None | $181.97 | $389.05 | $616.60 |
Medica Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $630.96 | Facility | TC · Technical part | $302.00 | $467.74 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $104.71 | $295.12 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $89.13 Typical High $218.78 | Professional | 26 · Professional part | $38.90 | $89.13 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $58.88 | $213.80 | $457.09 |
United Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $371.54 | Facility | None | $263.03 | $281.84 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $93.33 | $138.04 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $223.87 | Professional | TC · Technical part | $56.23 | $89.13 | $223.87 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $51.29 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $30.20 | Professional | 53 · Discontinued | $17.78 | $20.42 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $79.43 Typical High $100.00 | Professional | FX · Film X-ray | $61.66 | $79.43 | $100.00 |
Where Minnesota sits
The same service costs 4.2 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· 2nd of 51
$282
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.