How much rates vary
Facilitymedian $204 · 10th to 90th $102 to $417Professionalmedian $186 · 10th to 90th $102 to $389
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 $107.15 Median $204.17 Typical High $416.87 | Facility | None | $107.15 | $204.17 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | TC · Technical part | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $89.13 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $23.44 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $79.43 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $75.86 Median $131.83 Typical High $275.42 | Facility | None | $75.86 | $131.83 | $275.42 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $151.36 | $257.04 | $407.38 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $60.26 | $93.33 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $204.17 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $1,148.15 | Facility | None | $245.47 | $389.05 | $1,148.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $257.04 | Facility | 26 · Professional part | $56.23 | $89.13 | $257.04 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $891.25 | Facility | TC · Technical part | $190.55 | $302.00 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $151.36 | $165.96 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $37.15 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $125.89 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $891.25 | Facility | None | $229.09 | $380.19 | $891.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $204.17 | Facility | 26 · Professional part | $52.48 | $85.11 | $204.17 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $691.83 | Facility | TC · Technical part | $177.83 | $288.40 | $691.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $147.91 | $147.91 | $208.93 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $33.88 | $47.86 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $114.82 | $162.18 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $165.96 Typical High $281.84 | Facility | None | $46.77 | $165.96 | $281.84 |
Medica Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $245.47 | Facility | TC · Technical part | $125.89 | $173.78 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $229.09 Typical High $707.95 | Professional | None (both parts) | $95.50 | $229.09 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $27.54 | $81.28 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $208.93 Typical High $549.54 | Professional | TC · Technical part | $67.61 | $208.93 | $549.54 |
United Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $186.21 | Facility | None | $131.83 | $141.25 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $67.61 | $181.97 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $16.60 | $51.29 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $52.48 | $128.82 | $234.42 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Minnesota sits
The same service costs 5.5 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· 2nd of 51
$195
AK $269AL $48.98
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.