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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $588.84 | $588.84 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $45.71 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $549.54 | $549.54 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $5,754.40 | Facility | None | $1,737.80 | $3,019.95 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,202.26 Typical High $1,819.70 | Professional | None (both parts) | $933.25 | $1,202.26 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $97.72 | $147.91 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,174.90 Typical High $1,737.80 | Professional | TC · Technical part | $851.14 | $1,174.90 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $5,888.44 | Facility | None | $1,380.38 | $2,041.74 | $5,888.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $457.09 | Facility | 26 · Professional part | $107.15 | $162.18 | $457.09 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,258.93 Median $1,905.46 Typical High $5,370.32 | Facility | TC · Technical part | $1,258.93 | $1,905.46 | $5,370.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,862.09 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $1,819.70 | Professional | TC · Technical part | $776.25 | $1,023.29 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,230.27 | $1,949.84 | $4,570.88 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $363.08 | Facility | 26 · Professional part | $95.50 | $151.36 | $363.08 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,778.28 Typical High $4,265.80 | Facility | TC · Technical part | $1,122.02 | $1,778.28 | $4,265.80 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | None (both parts) | $891.25 | $891.25 | $1,778.28 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $69.18 | $138.04 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,659.59 | Professional | TC · Technical part | $812.83 | $812.83 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $3,388.44 | Facility | None | $676.08 | $1,047.13 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,148.15 Typical High $3,981.07 | Professional | None (both parts) | $676.08 | $1,148.15 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $457.09 | Professional | 26 · Professional part | $57.54 | $95.50 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,047.13 Typical High $3,715.35 | Professional | TC · Technical part | $630.96 | $1,047.13 | $3,715.35 |
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 $676.08 Median $1,122.02 Typical High $2,137.96 | Professional | None (both parts) | $676.08 | $1,122.02 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $93.33 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,023.29 Typical High $1,949.84 | Professional | TC · Technical part | $616.60 | $1,023.29 | $1,949.84 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | 52 · Reduced service | $295.12 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | 53 · Discontinued | $117.49 | $117.49 | $151.36 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$1,148
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.