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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | TC · Technical part | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $79.43 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $53.70 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $1,148.15 | Facility | None | $302.00 | $562.34 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $213.80 | $281.84 | $426.58 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $128.82 | $169.82 | $251.19 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $120.23 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,318.26 | Facility | None | $309.03 | $467.74 | $1,318.26 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $181.97 Median $275.42 Typical High $776.25 | Facility | 26 · Professional part | $181.97 | $275.42 | $776.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $537.03 | Facility | TC · Technical part | $125.89 | $190.55 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $199.53 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $117.49 | $151.36 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $102.33 | $181.97 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,047.13 | Facility | None | $275.42 | $436.52 | $1,047.13 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $263.03 Typical High $616.60 | Facility | 26 · Professional part | $165.96 | $263.03 | $616.60 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $426.58 | Facility | TC · Technical part | $112.20 | $177.83 | $426.58 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $199.53 | $199.53 | $398.11 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $117.49 | $239.88 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $81.28 | $158.49 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $575.44 | Facility | None | $186.21 | $257.04 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $1,174.90 | Professional | None (both parts) | $165.96 | $281.84 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $169.82 Typical High $912.01 | Professional | 26 · Professional part | $100.00 | $169.82 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $912.01 | Professional | TC · Technical part | $64.57 | $107.15 | $912.01 |
United Setting Facility Modifier None Typical Low $588.84 Median $630.96 Typical High $831.76 | Facility | None | $588.84 | $630.96 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $154.88 | $263.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $93.33 | $158.49 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $104.71 | $169.82 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $100.00 | Professional | 52 · Reduced service | $66.07 | $66.07 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | 53 · Discontinued | $26.92 | $26.92 | $39.81 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 4th of 51
$269
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.