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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,584.89 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $97.72 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $2,187.76 | Facility | None | $588.84 | $1,122.02 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,290.87 Typical High $3,467.37 | Professional | None (both parts) | $1,737.80 | $2,290.87 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $208.93 | $316.23 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,187.76 Typical High $3,235.94 | Professional | TC · Technical part | $1,584.89 | $2,187.76 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $10,964.78 | Facility | None | $2,570.40 | $3,890.45 | $10,964.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $229.09 Median $346.74 Typical High $977.24 | Facility | 26 · Professional part | $229.09 | $346.74 | $977.24 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,344.23 Median $3,548.13 Typical High $10,000.00 | Facility | TC · Technical part | $2,344.23 | $3,548.13 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,089.30 Typical High $3,715.35 | Professional | None (both parts) | $1,412.54 | $2,089.30 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $147.91 | $186.21 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,905.46 Typical High $3,388.44 | Professional | TC · Technical part | $1,318.26 | $1,905.46 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $8,511.38 | Facility | None | $2,290.87 | $3,630.78 | $8,511.38 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $204.17 Median $323.59 Typical High $776.25 | Facility | 26 · Professional part | $204.17 | $323.59 | $776.25 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $2,089.30 Median $3,311.31 Typical High $7,762.47 | Facility | TC · Technical part | $2,089.30 | $3,311.31 | $7,762.47 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $3,311.31 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $147.91 | $147.91 | $295.12 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $3,019.95 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,949.84 Typical High $2,511.89 | Facility | None | $371.54 | $1,949.84 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,995.26 Typical High $6,918.31 | Professional | None (both parts) | $1,096.48 | $1,995.26 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $190.55 Typical High $1,148.15 | Professional | 26 · Professional part | $120.23 | $190.55 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,819.70 Typical High $6,309.57 | Professional | TC · Technical part | $1,047.13 | $1,819.70 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,380.38 | $1,513.56 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,949.84 Typical High $3,388.44 | Professional | None (both parts) | $1,096.48 | $1,949.84 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $316.23 | Professional | 26 · Professional part | $114.82 | $181.97 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,778.28 Typical High $3,090.30 | Professional | TC · Technical part | $1,000.00 | $1,778.28 | $3,090.30 |
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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $794.33 | Professional | 52 · Reduced service | $549.54 | $549.54 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | 53 · Discontinued | $218.78 | $218.78 | $316.23 |
Where Minnesota sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$2,089
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.