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 $446.68 Median $1,023.29 Typical High $1,548.82 | Facility | None | $446.68 | $1,023.29 | $1,548.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $457.09 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $389.05 | $389.05 | $457.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $1,348.96 Typical High $3,090.30 | Facility | None | $162.18 | $1,348.96 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $660.69 | $1,122.02 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $173.78 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $173.78 | $275.42 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,000.00 Typical High $1,548.82 | Professional | TC · Technical part | $537.03 | $1,000.00 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $5,011.87 | Facility | None | $1,096.48 | $1,737.80 | $5,011.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $257.04 Typical High $758.58 | Facility | 26 · Professional part | $162.18 | $257.04 | $758.58 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,479.11 Typical High $4,265.80 | Facility | TC · Technical part | $933.25 | $1,479.11 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $724.44 Typical High $977.24 | Professional | None (both parts) | $660.69 | $724.44 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $109.65 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $562.34 | $616.60 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $3,981.07 | Facility | None | $1,023.29 | $1,659.59 | $3,981.07 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $151.36 Median $251.19 Typical High $588.84 | Facility | 26 · Professional part | $151.36 | $251.19 | $588.84 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $1,412.54 Typical High $3,388.44 | Facility | TC · Technical part | $870.96 | $1,412.54 | $3,388.44 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None (both parts) | $660.69 | $660.69 | $912.01 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $97.72 | $138.04 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $776.25 | Professional | TC · Technical part | $549.54 | $549.54 | $776.25 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $616.60 Typical High $1,778.28 | Facility | None | $229.09 | $616.60 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $831.76 Typical High $3,235.94 | Professional | None (both parts) | $281.84 | $831.76 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $208.93 Typical High $660.69 | Professional | 26 · Professional part | $77.62 | $208.93 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $660.69 Typical High $2,951.21 | Professional | TC · Technical part | $218.78 | $660.69 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,884.03 | Facility | None | $2,041.74 | $2,187.76 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $281.84 | $630.96 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $47.86 | $141.25 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $912.01 | Professional | TC · Technical part | $218.78 | $489.78 | $912.01 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Where Minnesota sits
The same service costs 11.5 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· 3rd of 51
$912
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.