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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | TC · Technical part | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $13.80 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $151.36 | $151.36 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,089.30 | Facility | None | $724.44 | $1,258.93 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $257.04 | $338.84 | $512.86 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $28.84 | $43.65 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $323.59 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,621.81 | Facility | None | $380.19 | $575.44 | $1,621.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $134.90 | Facility | 26 · Professional part | $31.62 | $47.86 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $524.81 Typical High $1,513.56 | Facility | TC · Technical part | $346.74 | $524.81 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $245.47 | $316.23 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $288.40 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,288.25 | Facility | None | $338.84 | $549.54 | $1,288.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $104.71 | Facility | 26 · Professional part | $28.18 | $44.67 | $104.71 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $501.19 Typical High $1,174.90 | Facility | TC · Technical part | $316.23 | $501.19 | $1,174.90 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $245.47 | $245.47 | $501.19 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $40.74 | Professional | 26 · Professional part | $20.42 | $20.42 | $40.74 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $223.87 | $457.09 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $288.40 Typical High $1,380.38 | Facility | None | $107.15 | $288.40 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $1,071.52 | Professional | None (both parts) | $199.53 | $331.13 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $141.25 | Professional | 26 · Professional part | $16.60 | $27.54 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $977.24 | Professional | TC · Technical part | $181.97 | $309.03 | $977.24 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,380.38 | $1,479.11 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $177.83 | $331.13 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $15.14 | $27.54 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $302.00 | $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 $83.18 Median $83.18 Typical High $83.18 | Facility | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $33.11 | $39.81 |
Where Minnesota sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$324
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.