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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | TC · Technical part | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,995.26 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $83.18 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,584.89 Typical High $1,659.59 | Professional | TC · Technical part | $1,202.26 | $1,584.89 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $4,466.84 Typical High $10,471.29 | Facility | None | $1,949.84 | $4,466.84 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $134.90 | $186.21 | $275.42 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $239.88 | Professional | 26 · Professional part | $144.54 | $169.82 | $239.88 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $169.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $13,489.63 | Facility | None | $3,162.28 | $4,786.30 | $13,489.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $194.98 Median $295.12 Typical High $831.76 | Facility | 26 · Professional part | $194.98 | $295.12 | $831.76 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,951.21 Median $4,466.84 Typical High $12,589.25 | Facility | TC · Technical part | $2,951.21 | $4,466.84 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $2,570.40 Typical High $4,265.80 | Professional | None (both parts) | $812.83 | $2,570.40 | $4,265.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $158.49 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $2,398.83 Typical High $3,981.07 | Professional | TC · Technical part | $691.83 | $2,398.83 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $10,471.29 | Facility | None | $2,818.38 | $4,466.84 | $10,471.29 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $275.42 Typical High $645.65 | Facility | 26 · Professional part | $173.78 | $275.42 | $645.65 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $2,630.27 Median $4,168.69 Typical High $10,000.00 | Facility | TC · Technical part | $2,630.27 | $4,168.69 | $10,000.00 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $4,073.80 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $4,073.80 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $125.89 | $125.89 | $251.19 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,905.46 Median $1,905.46 Typical High $3,890.45 | Professional | TC · Technical part | $1,905.46 | $1,905.46 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $2,187.76 Typical High $3,801.89 | Facility | None | $190.55 | $2,187.76 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,691.53 Typical High $10,000.00 | Professional | None (both parts) | $1,548.82 | $2,691.53 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $2,691.53 | Professional | 26 · Professional part | $100.00 | $162.18 | $2,691.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $2,570.40 Typical High $7,244.36 | Professional | TC · Technical part | $1,445.44 | $2,570.40 | $7,244.36 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $5,128.61 | Facility | None | $3,630.78 | $3,890.45 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,630.27 Typical High $4,786.30 | Professional | None (both parts) | $1,548.82 | $2,630.27 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $91.20 | $162.18 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $2,511.89 Typical High $4,466.84 | Professional | TC · Technical part | $1,445.44 | $2,511.89 | $4,466.84 |
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 $794.33 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $645.65 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $257.04 | $316.23 | $316.23 |
Where Minnesota sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 24th of 51
$1,585
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.