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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | TC · Technical part | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $645.65 | $645.65 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $77.62 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $616.60 | Professional | TC · Technical part | $575.44 | $575.44 | $616.60 |
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 $1,202.26 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $1,202.26 | $1,513.56 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $181.97 | $269.15 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,318.26 Typical High $1,862.09 | Professional | TC · Technical part | $1,047.13 | $1,318.26 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $6,456.54 | Facility | None | $1,479.11 | $2,238.72 | $6,456.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $758.58 | Facility | 26 · Professional part | $177.83 | $269.15 | $758.58 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,318.26 Median $1,995.26 Typical High $5,623.41 | Facility | TC · Technical part | $1,318.26 | $1,995.26 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,230.27 Typical High $2,089.30 | Professional | None (both parts) | $812.83 | $1,230.27 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $257.04 | Professional | 26 · Professional part | $114.82 | $144.54 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $1,778.28 | Professional | TC · Technical part | $707.95 | $1,071.52 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $5,011.87 | Facility | None | $1,348.96 | $2,137.96 | $5,011.87 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $158.49 Median $251.19 Typical High $602.56 | Facility | 26 · Professional part | $158.49 | $251.19 | $602.56 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,862.09 Typical High $4,466.84 | Facility | TC · Technical part | $1,174.90 | $1,862.09 | $4,466.84 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,949.84 | Professional | None (both parts) | $977.24 | $977.24 | $1,949.84 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $114.82 | $229.09 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,737.80 | Professional | TC · Technical part | $851.14 | $851.14 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $1,148.15 Typical High $1,548.82 | Facility | None | $275.42 | $1,148.15 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,023.29 Typical High $4,168.69 | Professional | None (both parts) | $549.54 | $1,023.29 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $162.18 Typical High $676.08 | Professional | 26 · Professional part | $97.72 | $162.18 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $851.14 Typical High $3,715.35 | Professional | TC · Technical part | $467.74 | $851.14 | $3,715.35 |
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 $588.84 Median $891.25 Typical High $1,949.84 | Professional | None (both parts) | $588.84 | $891.25 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $154.88 Typical High $275.42 | Professional | 26 · Professional part | $97.72 | $154.88 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $741.31 Typical High $1,698.24 | Professional | TC · Technical part | $501.19 | $741.31 | $1,698.24 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | 52 · Reduced service | $323.59 | $323.59 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | 53 · Discontinued | $128.82 | $128.82 | $186.21 |
Where Minnesota sits
The same service costs 6.0 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· 3rd of 51
$1,318
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.