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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 26 · Professional part | $9.33 | $9.33 | $9.33 |
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 $72.44 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $72.44 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $9.33 | $9.33 | $12.30 |
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 Minnesota Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $1,548.82 | Facility | None | $380.19 | $758.58 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $120.23 | $151.36 | $229.09 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $19.95 | $30.20 |
BCBS Minnesota 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 $169.82 Median $257.04 Typical High $724.44 | Facility | None | $169.82 | $257.04 | $724.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $91.20 | Facility | 26 · Professional part | $21.38 | $32.36 | $91.20 |
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 $109.65 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $109.65 | $138.04 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $13.80 | $17.38 | $30.20 |
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 $151.36 Median $239.88 Typical High $562.34 | Facility | None | $151.36 | $239.88 | $562.34 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $70.79 | Facility | 26 · Professional part | $19.05 | $30.20 | $70.79 |
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 $109.65 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $109.65 | $109.65 | $218.78 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $27.54 | Professional | 26 · Professional part | $13.80 | $13.80 | $27.54 |
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 $100.00 Median $128.82 Typical High $1,047.13 | Facility | None | $100.00 | $128.82 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $89.13 | $173.78 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $20.89 Typical High $134.90 | Professional | 26 · Professional part | $12.02 | $20.89 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $398.11 | Professional | TC · Technical part | $75.86 | $151.36 | $398.11 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,445.44 | Facility | None | $1,000.00 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $81.28 | $158.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $20.42 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $138.04 | $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 $36.31 Median $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 52 · Reduced service | $36.31 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $14.45 | $14.45 | $18.20 |
Where Minnesota sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 6th of 51
$148
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.