How much rates vary
Facilitymedian $316 · 10th to 90th $141 to $646Professionalmedian $269 · 10th to 90th $141 to $437
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 $141.25 Median $141.25 Typical High $213.80 | Facility | None | $141.25 | $141.25 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | TC · Technical part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $63.10 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $40.74 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $19.95 | $100.00 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $707.95 | Facility | None | $177.83 | $446.68 | $707.95 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $229.09 | $295.12 | $446.68 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $128.82 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $1,380.38 | Facility | None | $323.59 | $489.78 | $1,380.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $398.11 | Facility | 26 · Professional part | $93.33 | $141.25 | $398.11 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $1,000.00 | Facility | TC · Technical part | $234.42 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $177.83 | $269.15 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $75.86 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $190.55 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $1,096.48 | Facility | None | $295.12 | $467.74 | $1,096.48 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $316.23 | Facility | 26 · Professional part | $83.18 | $131.83 | $316.23 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $776.25 | Facility | TC · Technical part | $208.93 | $331.13 | $776.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $208.93 | $208.93 | $426.58 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $60.26 | $123.03 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $151.36 | $302.00 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $446.68 | Facility | None | $165.96 | $251.19 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $891.25 | Professional | None (both parts) | $123.03 | $218.78 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $416.87 | Professional | 26 · Professional part | $48.98 | $81.28 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $645.65 | Professional | TC · Technical part | $77.62 | $131.83 | $645.65 |
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 $123.03 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $123.03 | $194.98 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $77.62 | $120.23 | $275.42 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $28.18 | $41.69 |
Where Minnesota sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$269
AK $525MI $75.86
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.