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 $107.15 Median $107.15 Typical High $354.81 | Facility | None | $107.15 | $107.15 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $1,348.96 | Facility | None | $162.18 | $588.84 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $158.49 | $275.42 | $426.58 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $56.23 | $97.72 | $154.88 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $1,174.90 | Facility | None | $257.04 | $407.38 | $1,174.90 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $144.54 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $758.58 | Facility | TC · Technical part | $165.96 | $263.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $154.88 | $169.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $60.26 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $109.65 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $933.25 | Facility | None | $239.88 | $389.05 | $933.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $138.04 Typical High $331.13 | Facility | 26 · Professional part | $85.11 | $138.04 | $331.13 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $602.56 | Facility | TC · Technical part | $154.88 | $251.19 | $602.56 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $154.88 | $154.88 | $218.78 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $54.95 | $77.62 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $100.00 | $138.04 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $724.44 | Facility | None | $165.96 | $234.42 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $295.12 Typical High $891.25 | Professional | None (both parts) | $125.89 | $295.12 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $120.23 Typical High $338.84 | Professional | 26 · Professional part | $46.77 | $120.23 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $190.55 Typical High $549.54 | Professional | TC · Technical part | $75.86 | $190.55 | $549.54 |
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 $77.62 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $77.62 | $269.15 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $28.18 | $97.72 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $50.12 | $169.82 | $239.88 |
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 $53.70 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Where Minnesota sits
The same service costs 4.5 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· 4th of 51
$234
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.