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 $30.90 Median $89.13 Typical High $213.80 | Facility | None | $30.90 | $89.13 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $6.46 | Facility | 26 · Professional part | $5.89 | $5.89 | $6.46 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | TC · Technical part | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $28.84 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $10.00 | Professional | 26 · Professional part | $5.75 | $5.89 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $24.55 | $41.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $275.42 | Facility | None | $51.29 | $114.82 | $275.42 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $44.67 | $74.13 | $114.82 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $9.33 | $15.85 | $24.55 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $35.48 | $63.10 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $338.84 | Facility | None | $72.44 | $114.82 | $338.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $21.88 Typical High $63.10 | Facility | 26 · Professional part | $13.80 | $21.88 | $63.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $269.15 | Facility | TC · Technical part | $58.88 | $93.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $43.65 | $47.86 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $8.32 | $9.12 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $35.48 | $38.90 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $263.03 | Facility | None | $67.61 | $109.65 | $263.03 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $50.12 | Facility | 26 · Professional part | $12.88 | $20.89 | $50.12 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $213.80 | Facility | TC · Technical part | $54.95 | $89.13 | $213.80 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $43.65 | $43.65 | $61.66 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $8.32 | $8.32 | $11.75 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $35.48 | $35.48 | $50.12 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $199.53 | Facility | None | $43.65 | $75.86 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.38 Median $64.57 Typical High $263.03 | Professional | None (both parts) | $21.38 | $64.57 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $20.89 Typical High $144.54 | Professional | 26 · Professional part | $7.24 | $20.89 | $144.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $56.23 Typical High $223.87 | Professional | TC · Technical part | $22.39 | $56.23 | $223.87 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $19.95 | $56.23 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.37 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $4.37 | $13.18 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $15.85 | $42.66 | $70.79 |
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 $15.49 Median $15.49 Typical High $15.49 | Facility | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 3rd of 51
$85.11
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.