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 $69.18 Median $208.93 Typical High $537.03 | Facility | None | $69.18 | $208.93 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | TC · Technical part | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $69.18 | $69.18 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $33.11 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $35.48 | $35.48 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $467.74 Typical High $1,000.00 | Facility | None | $177.83 | $467.74 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $109.65 | $144.54 | $218.78 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $70.79 | $107.15 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $77.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $676.08 | Facility | None | $158.49 | $239.88 | $676.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $331.13 | Facility | 26 · Professional part | $77.62 | $117.49 | $331.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $346.74 | Facility | TC · Technical part | $81.28 | $123.03 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $102.33 | $128.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $67.61 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $537.03 | Facility | None | $141.25 | $223.87 | $537.03 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $257.04 | Facility | 26 · Professional part | $69.18 | $109.65 | $257.04 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $275.42 | Facility | TC · Technical part | $74.13 | $117.49 | $275.42 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $102.33 | $102.33 | $208.93 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $50.12 | $100.00 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $52.48 | $107.15 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $512.86 | Facility | None | $95.50 | $316.23 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $467.74 | Professional | None (both parts) | $81.28 | $154.88 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $83.18 Typical High $380.19 | Professional | 26 · Professional part | $39.81 | $83.18 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $380.19 | Professional | TC · Technical part | $40.74 | $69.18 | $380.19 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $79.43 | $125.89 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $40.74 | $64.57 | $109.65 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | 52 · Reduced service | $34.67 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $13.80 | $20.42 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 4th of 51
$145
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.