How much rates vary
Facilitymedian $224 · 10th to 90th $71 to $3,548Professionalmedian $148 · 10th to 90th $83 to $224
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 26 · Professional part | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | TC · Technical part | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None (both parts) | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $10.23 | Professional | 26 · Professional part | $7.59 | $7.59 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
BCBS Setting Facility Modifier None Typical Low $398.11 Median $2,137.96 Typical High $4,897.79 | Facility | None | $398.11 | $2,137.96 | $4,897.79 |
BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $117.49 | $147.91 | $223.87 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $16.22 | $24.55 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $144.54 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $707.95 | Facility | None | $165.96 | $251.19 | $707.95 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $74.13 | Facility | 26 · Professional part | $17.38 | $26.30 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $630.96 | Facility | TC · Technical part | $147.91 | $223.87 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $107.15 | $134.90 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $14.13 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $120.23 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $549.54 | Facility | None | $147.91 | $234.42 | $549.54 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $57.54 | Facility | 26 · Professional part | $15.49 | $24.55 | $57.54 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $501.19 | Facility | TC · Technical part | $131.83 | $208.93 | $501.19 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $107.15 | $107.15 | $213.80 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $11.22 | $22.39 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $95.50 | $190.55 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $3,388.44 | Facility | None | $66.07 | $125.89 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $83.18 | $169.82 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $123.03 | Professional | 26 · Professional part | $10.00 | $17.38 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $74.13 | $151.36 | $407.38 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $4,677.35 | Facility | None | $3,235.94 | $3,548.13 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $72.44 | $158.49 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $9.12 | $16.60 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $63.10 | $144.54 | $199.53 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.38 |
Where Minnesota sits
The same service costs 8.1 times more in Alabama 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· 7th of 51
$148
AL $513IN $63.10
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.