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 $141.25 Median $354.81 Typical High $912.01 | Facility | None | $141.25 | $354.81 | $912.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $75.86 | Facility | 26 · Professional part | $72.44 | $72.44 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $288.40 | Facility | TC · Technical part | $194.98 | $194.98 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $223.87 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $72.44 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $194.98 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $575.44 Typical High $1,348.96 | Facility | None | $162.18 | $575.44 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $107.15 | $186.21 | $288.40 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $501.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,951.21 | Facility | None | $630.96 | $1,000.00 | $2,951.21 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $275.42 Typical High $794.33 | Facility | 26 · Professional part | $173.78 | $275.42 | $794.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $724.44 Typical High $2,137.96 | Facility | TC · Technical part | $467.74 | $724.44 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $380.19 | $426.58 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $114.82 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $309.03 | $407.38 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $2,290.87 | Facility | None | $588.84 | $977.24 | $2,290.87 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $263.03 Typical High $630.96 | Facility | 26 · Professional part | $162.18 | $263.03 | $630.96 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $707.95 Typical High $1,659.59 | Facility | TC · Technical part | $426.58 | $707.95 | $1,659.59 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $380.19 | $380.19 | $537.03 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $102.33 | $144.54 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $275.42 | $389.05 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $338.84 Typical High $616.60 | Facility | None | $120.23 | $338.84 | $616.60 |
Medica Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $316.23 Typical High $446.68 | Facility | TC · Technical part | $177.83 | $316.23 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $549.54 Typical High $1,819.70 | Professional | None (both parts) | $229.09 | $549.54 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $257.04 Typical High $389.05 | Professional | 26 · Professional part | $147.91 | $257.04 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $478.63 Typical High $1,318.26 | Professional | TC · Technical part | $147.91 | $478.63 | $1,318.26 |
United Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $1,288.25 | Facility | None | $912.01 | $977.24 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $173.78 | $489.78 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $52.48 | $158.49 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $125.89 | $331.13 | $575.44 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 11th of 51
$398
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.