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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | TC · Technical part | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $60.26 | $60.26 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $3,801.89 | Facility | None | $1,023.29 | $1,479.11 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $56.23 | $77.62 | $120.23 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $70.79 | $102.33 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $70.79 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $501.19 | Facility | None | $169.82 | $263.03 | $501.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $165.96 | Facility | 26 · Professional part | $56.23 | $87.10 | $165.96 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $338.84 | Facility | TC · Technical part | $114.82 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $154.88 | $194.98 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $64.57 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $131.83 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $141.25 | Facility | 26 · Professional part | $50.12 | $81.28 | $141.25 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $288.40 | Facility | TC · Technical part | $102.33 | $162.18 | $288.40 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $154.88 | $154.88 | $309.03 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $51.29 | $102.33 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $102.33 | $208.93 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $181.97 | Facility | None | $67.61 | $131.83 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $87.10 | $173.78 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $158.49 | Professional | 26 · Professional part | $40.74 | $61.66 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $69.18 | $120.23 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $91.20 | $173.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $61.66 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $117.49 | $234.42 |
4 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 $46.77 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 9th of 51
$138
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.