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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | TC · Technical part | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $194.98 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,230.27 Typical High $2,238.72 | Facility | None | $537.03 | $1,230.27 | $2,238.72 |
BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $309.03 | $407.38 | $616.60 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $89.13 | $138.04 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $323.59 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,949.84 | Facility | None | $457.09 | $691.83 | $1,949.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $416.87 | Facility | 26 · Professional part | $97.72 | $147.91 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $537.03 Typical High $1,513.56 | Facility | TC · Technical part | $354.81 | $537.03 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $295.12 | $371.54 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $288.40 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,513.56 | Facility | None | $407.38 | $645.65 | $1,513.56 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $331.13 | Facility | 26 · Professional part | $89.13 | $141.25 | $331.13 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $501.19 Typical High $1,202.26 | Facility | TC · Technical part | $316.23 | $501.19 | $1,202.26 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $295.12 | $295.12 | $588.84 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $63.10 | $128.82 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $229.09 | $467.74 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $1,047.13 | Facility | None | $269.15 | $346.74 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $1,479.11 | Professional | None (both parts) | $239.88 | $398.11 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $489.78 | Professional | 26 · Professional part | $51.29 | $83.18 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $316.23 | $1,047.13 |
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 $213.80 Median $389.05 Typical High $660.69 | Professional | None (both parts) | $213.80 | $389.05 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $309.03 | $512.86 |
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 $97.72 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $38.90 | $47.86 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska 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· 8th of 51
$380
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.