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 $22.91 Median $134.90 Typical High $549.54 | Facility | None | $22.91 | $134.90 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $102.33 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $102.33 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $112.20 Median $316.23 Typical High $660.69 | Facility | None | $112.20 | $316.23 | $660.69 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $190.55 | $331.13 | $524.81 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $81.28 | $128.82 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $263.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $1,479.11 | Facility | None | $323.59 | $501.19 | $1,479.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $346.74 | Facility | 26 · Professional part | $75.86 | $120.23 | $346.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $389.05 Typical High $1,122.02 | Facility | TC · Technical part | $245.47 | $389.05 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $194.98 | $213.80 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $50.12 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $147.91 | $162.18 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $295.12 Median $489.78 Typical High $1,174.90 | Facility | None | $295.12 | $489.78 | $1,174.90 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $275.42 | Facility | 26 · Professional part | $70.79 | $114.82 | $275.42 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $891.25 | Facility | TC · Technical part | $229.09 | $371.54 | $891.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $190.55 | $190.55 | $269.15 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $45.71 | $64.57 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $147.91 | $147.91 | $208.93 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $186.21 Typical High $331.13 | Facility | None | $38.02 | $186.21 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $281.84 Typical High $977.24 | Professional | None (both parts) | $93.33 | $281.84 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $37.15 | $97.72 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $199.53 Typical High $758.58 | Professional | TC · Technical part | $54.95 | $199.53 | $758.58 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $602.56 | Facility | None | $426.58 | $467.74 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $173.78 Typical High $380.19 | Professional | None (both parts) | $77.62 | $173.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $22.39 | $67.61 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $269.15 | Professional | TC · Technical part | $54.95 | $114.82 | $269.15 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 5.2 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· 8th of 51
$200
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.