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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | TC · Technical part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $128.82 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $24.55 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,584.89 | Facility | None | $537.03 | $933.25 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $208.93 | $263.03 | $398.11 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $51.29 | $77.62 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $234.42 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $1,258.93 | Facility | None | $295.12 | $446.68 | $1,258.93 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $239.88 | Facility | 26 · Professional part | $56.23 | $85.11 | $239.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | TC · Technical part | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $190.55 | $239.88 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $194.98 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $1,000.00 | Facility | None | $263.03 | $416.87 | $1,000.00 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $186.21 | Facility | 26 · Professional part | $50.12 | $79.43 | $186.21 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $812.83 | Facility | TC · Technical part | $213.80 | $338.84 | $812.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $190.55 | $190.55 | $389.05 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $36.31 | $72.44 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $154.88 | $309.03 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $1,047.13 | Facility | None | $177.83 | $245.47 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $316.23 Typical High $1,778.28 | Professional | None (both parts) | $162.18 | $316.23 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $446.68 | Professional | 26 · Professional part | $31.62 | $54.95 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $1,621.81 | Professional | TC · Technical part | $123.03 | $257.04 | $1,621.81 |
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 $144.54 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $144.54 | $288.40 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $53.70 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $239.88 | $331.13 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $25.70 | $37.15 |
Where Minnesota sits
The same service costs 5.2 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· 11th of 51
$263
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.