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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | TC · Technical part | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $104.71 | $104.71 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $63.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | TC · Technical part | $41.69 | $41.69 | $46.77 |
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 $102.33 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $102.33 | $141.25 | $213.80 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $131.83 | $181.97 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $128.82 | $128.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $2,570.40 | Facility | None | $602.56 | $912.01 | $2,570.40 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $147.91 Median $223.87 Typical High $630.96 | Facility | 26 · Professional part | $147.91 | $223.87 | $630.96 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $676.08 Typical High $1,905.46 | Facility | TC · Technical part | $446.68 | $676.08 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $181.97 | $489.78 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $120.23 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $77.62 | $371.54 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,995.26 | Facility | None | $537.03 | $851.14 | $1,995.26 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $208.93 Typical High $501.19 | Facility | 26 · Professional part | $131.83 | $208.93 | $501.19 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $645.65 Typical High $1,513.56 | Facility | TC · Technical part | $407.38 | $645.65 | $1,513.56 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $389.05 | $389.05 | $724.44 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $95.50 | $190.55 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $288.40 | $288.40 | $549.54 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $575.44 | Facility | None | $144.54 | $323.59 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $407.38 Typical High $1,202.26 | Professional | None (both parts) | $134.90 | $407.38 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $147.91 Typical High $1,202.26 | Professional | 26 · Professional part | $81.28 | $147.91 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $275.42 Typical High $630.96 | Professional | TC · Technical part | $57.54 | $275.42 | $630.96 |
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 $125.89 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $125.89 | $354.81 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $74.13 | $144.54 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $169.82 Typical High $446.68 | Professional | TC · Technical part | $50.12 | $169.82 | $446.68 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | 52 · Reduced service | $52.48 | $52.48 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 53 · Discontinued | $20.89 | $20.89 | $31.62 |
Where Minnesota sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 13th of 51
$219
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.