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 $75.86 Median $181.97 Typical High $407.38 | Facility | None | $75.86 | $181.97 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $64.57 | $75.86 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $10.47 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $66.07 | $97.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $489.78 | Facility | None | $95.50 | $234.42 | $489.78 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $112.20 | $190.55 | $302.00 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $15.85 | $26.92 | $42.66 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $165.96 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $831.76 | Facility | None | $181.97 | $288.40 | $831.76 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $114.82 | Facility | 26 · Professional part | $24.55 | $38.90 | $114.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $245.47 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $109.65 | $120.23 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $15.14 | $16.60 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $104.71 | $138.04 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $660.69 | Facility | None | $169.82 | $275.42 | $660.69 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $89.13 | Facility | 26 · Professional part | $22.91 | $38.02 | $89.13 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $562.34 | Facility | TC · Technical part | $144.54 | $239.88 | $562.34 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $109.65 | $109.65 | $154.88 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $14.79 | $20.89 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $93.33 | $131.83 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $112.20 Typical High $239.88 | Facility | None | $32.36 | $112.20 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $151.36 Typical High $512.86 | Professional | None (both parts) | $46.77 | $151.36 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $38.02 Typical High $87.10 | Professional | 26 · Professional part | $12.59 | $38.02 | $87.10 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $147.91 Typical High $436.52 | Professional | TC · Technical part | $46.77 | $147.91 | $436.52 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $50.12 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $7.59 | $22.39 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $42.66 | $104.71 | $190.55 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Where Minnesota sits
The same service costs 6.0 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
$155
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.