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 $100.00 Median $100.00 Typical High $2,041.74 | Facility | None | $100.00 | $100.00 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | TC · Technical part | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $16.98 | $16.98 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $83.18 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,548.82 | Facility | None | $524.81 | $851.14 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $162.18 | $208.93 | $316.23 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $35.48 | $53.70 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $186.21 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $977.24 | Facility | None | $229.09 | $346.74 | $977.24 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $165.96 | Facility | 26 · Professional part | $38.02 | $57.54 | $165.96 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $812.83 | Facility | TC · Technical part | $190.55 | $288.40 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $147.91 | $190.55 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $158.49 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $776.25 | Facility | None | $208.93 | $331.13 | $776.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $128.82 | Facility | 26 · Professional part | $34.67 | $54.95 | $128.82 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $645.65 | Facility | TC · Technical part | $173.78 | $275.42 | $645.65 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $147.91 | $147.91 | $302.00 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $50.12 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $123.03 | $251.19 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $1,122.02 | Facility | None | $128.82 | $177.83 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $1,122.02 | Professional | None (both parts) | $123.03 | $204.17 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $338.84 | Professional | 26 · Professional part | $19.95 | $33.88 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $794.33 | Professional | TC · Technical part | $100.00 | $169.82 | $794.33 |
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 $112.20 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $112.20 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $93.33 | $169.82 | $295.12 |
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 $50.12 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $19.95 | $25.12 |
Where Minnesota sits
The same service costs 5.5 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
$204
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.