How much rates vary
Facilitymedian $339 · 10th to 90th $107 to $1,202Professionalmedian $214 · 10th to 90th $129 to $339
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 $107.15 Median $107.15 Typical High $213.80 | Facility | None | $107.15 | $107.15 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | TC · Technical part | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $107.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $20.89 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $85.11 | $85.11 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,548.82 | Facility | None | $524.81 | $831.76 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $173.78 | $218.78 | $338.84 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $43.65 | $66.07 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $190.55 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $1,047.13 | Facility | None | $245.47 | $371.54 | $1,047.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $204.17 | Facility | 26 · Professional part | $47.86 | $72.44 | $204.17 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $851.14 | Facility | TC · Technical part | $199.53 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $158.49 | $204.17 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $162.18 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $831.76 | Facility | None | $223.87 | $354.81 | $831.76 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $162.18 | Facility | 26 · Professional part | $42.66 | $67.61 | $162.18 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $676.08 | Facility | TC · Technical part | $177.83 | $281.84 | $676.08 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $158.49 | $158.49 | $323.59 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $30.90 | $63.10 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $128.82 | $257.04 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $1,096.48 | Facility | None | $151.36 | $208.93 | $1,096.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $831.76 | Professional | None (both parts) | $131.83 | $239.88 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $199.53 | Professional | 26 · Professional part | $26.92 | $46.77 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $707.95 | Professional | TC · Technical part | $104.71 | $194.98 | $707.95 |
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 $120.23 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $45.71 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $181.97 | $269.15 |
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 $53.70 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $21.38 | $26.92 |
Where Minnesota sits
The same service costs 5.1 times more in Alabama than in Florida. 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
$214
AL $479FL $93.33
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.