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 $120.23 Median $120.23 Typical High $331.13 | Facility | None | $120.23 | $120.23 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $30.20 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $91.20 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $363.08 | Facility | None | $169.82 | $223.87 | $363.08 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $177.83 | $302.00 | $478.63 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $75.86 | $120.23 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $234.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $1,348.96 | Facility | None | $288.40 | $457.09 | $1,348.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $114.82 Typical High $331.13 | Facility | 26 · Professional part | $72.44 | $114.82 | $331.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $1,000.00 | Facility | TC · Technical part | $218.78 | $346.74 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $173.78 | $190.55 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $47.86 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $144.54 | $194.98 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $1,047.13 | Facility | None | $269.15 | $436.52 | $1,047.13 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $109.65 Typical High $263.03 | Facility | 26 · Professional part | $67.61 | $109.65 | $263.03 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $794.33 | Facility | TC · Technical part | $204.17 | $331.13 | $794.33 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $173.78 | $173.78 | $245.47 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $42.66 | $60.26 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $128.82 | $128.82 | $181.97 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $309.03 | Facility | None | $147.91 | $199.53 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $245.47 Typical High $724.44 | Professional | None (both parts) | $87.10 | $245.47 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $75.86 Typical High $199.53 | Professional | 26 · Professional part | $32.36 | $75.86 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $173.78 Typical High $537.03 | Professional | TC · Technical part | $60.26 | $173.78 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $77.62 | $194.98 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $20.42 | $60.26 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $57.54 | $138.04 | $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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where Minnesota sits
The same service costs 4.6 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
$224
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.