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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 26 · Professional part | $67.61 | $67.61 | $67.61 |
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 $97.72 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $67.61 | $67.61 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $28.84 | $41.69 |
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 $158.49 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $158.49 | $204.17 | $331.13 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $144.54 | $234.42 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $64.57 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $478.63 | Facility | None | $162.18 | $251.19 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $338.84 | Facility | 26 · Professional part | $112.20 | $173.78 | $338.84 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $141.25 | Facility | TC · Technical part | $47.86 | $74.13 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $147.91 | $186.21 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $128.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $54.95 | $95.50 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $398.11 | Facility | None | $144.54 | $229.09 | $398.11 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $281.84 | Facility | 26 · Professional part | $100.00 | $162.18 | $281.84 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $120.23 | Facility | TC · Technical part | $42.66 | $69.18 | $120.23 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $144.54 | $144.54 | $295.12 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $102.33 | $204.17 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $42.66 | $87.10 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $660.69 | Facility | None | $134.90 | $194.98 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $1,737.80 | Professional | None (both parts) | $109.65 | $181.97 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $501.19 | Professional | 26 · Professional part | $74.13 | $128.82 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $1,412.54 | Professional | TC · Technical part | $29.51 | $51.29 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $100.00 | $173.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $69.18 | $128.82 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $47.86 Typical High $95.50 | Professional | TC · Technical part | $26.92 | $47.86 | $95.50 |
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 $48.98 Median $48.98 Typical High $48.98 | Facility | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Where Minnesota sits
The same service costs 5.2 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· 7th of 51
$186
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.