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 $81.28 Median $81.28 Typical High $213.80 | Facility | None | $81.28 | $81.28 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | TC · Technical part | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $66.07 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $31.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $35.48 | $50.12 | $50.12 |
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 $134.90 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $134.90 | $169.82 | $275.42 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $66.07 | $107.15 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $407.38 | Facility | None | $134.90 | $208.93 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $158.49 | Facility | 26 · Professional part | $52.48 | $81.28 | $158.49 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $245.47 | Facility | TC · Technical part | $83.18 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $123.03 | $154.88 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $95.50 | $162.18 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $131.83 | Facility | 26 · Professional part | $46.77 | $75.86 | $131.83 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $208.93 | Facility | TC · Technical part | $74.13 | $120.23 | $208.93 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $123.03 | $123.03 | $245.47 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $47.86 | $95.50 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $75.86 | $151.36 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $186.21 | Facility | None | $109.65 | $144.54 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $141.25 Typical High $891.25 | Professional | None (both parts) | $79.43 | $141.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $64.57 Typical High $251.19 | Professional | 26 · Professional part | $33.88 | $64.57 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $81.28 Typical High $724.44 | Professional | TC · Technical part | $43.65 | $81.28 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $77.62 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $33.88 | $63.10 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $43.65 | $75.86 | $162.18 |
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 $40.74 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Where Minnesota sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 5th of 51
$158
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.