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 $69.18 Median $69.18 Typical High $69.18 | Facility | 26 · Professional part | $69.18 | $69.18 | $69.18 |
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 $69.18 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $69.18 | $128.82 |
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 $109.65 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $109.65 | $151.36 | $229.09 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $141.25 | $199.53 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $138.04 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $16,218.10 | Facility | None | $3,801.89 | $5,754.40 | $16,218.10 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $158.49 Median $239.88 Typical High $676.08 | Facility | 26 · Professional part | $158.49 | $239.88 | $676.08 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $3,630.78 Median $5,495.41 Typical High $15,488.17 | Facility | TC · Technical part | $3,630.78 | $5,495.41 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $3,090.30 Typical High $5,128.61 | Professional | None (both parts) | $891.25 | $3,090.30 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $128.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $2,951.21 Typical High $4,897.79 | Professional | TC · Technical part | $776.25 | $2,951.21 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,388.44 | $5,370.32 | $12,882.50 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $223.87 Typical High $537.03 | Facility | 26 · Professional part | $141.25 | $223.87 | $537.03 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $3,235.94 Median $5,128.61 Typical High $12,302.69 | Facility | TC · Technical part | $3,235.94 | $5,128.61 | $12,302.69 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $4,897.79 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $4,897.79 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $102.33 | $102.33 | $208.93 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $4,786.30 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $2,884.03 Typical High $5,248.07 | Facility | None | $112.20 | $2,884.03 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,691.53 Typical High $9,332.54 | Professional | None (both parts) | $1,548.82 | $2,691.53 | $9,332.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $134.90 Typical High $3,235.94 | Professional | 26 · Professional part | $81.28 | $134.90 | $3,235.94 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,570.40 Typical High $7,244.36 | Professional | TC · Technical part | $1,584.89 | $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 $72.44 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $72.44 | $128.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,511.89 Typical High $4,466.84 | Professional | TC · Technical part | $1,479.11 | $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 3.6 times more in Nebraska than in Montana. 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· 26th 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.