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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | TC · Technical part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $239.88 | Facility | None | $104.71 | $151.36 | $239.88 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $89.13 | $154.88 | $239.88 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $57.54 | $89.13 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $660.69 | Facility | None | $144.54 | $229.09 | $660.69 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $245.47 | Facility | 26 · Professional part | $53.70 | $83.18 | $245.47 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $426.58 | Facility | TC · Technical part | $91.20 | $144.54 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $87.10 | $95.50 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $35.48 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $54.95 | $60.26 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $524.81 | Facility | None | $134.90 | $218.78 | $524.81 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $194.98 | Facility | 26 · Professional part | $48.98 | $81.28 | $194.98 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $331.13 | Facility | TC · Technical part | $85.11 | $141.25 | $331.13 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $87.10 | $87.10 | $123.03 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $31.62 | $44.67 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $54.95 | $54.95 | $77.62 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $128.82 | Facility | None | $93.33 | $112.20 | $128.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $64.57 | $158.49 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $58.88 Typical High $158.49 | Professional | 26 · Professional part | $22.91 | $58.88 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $100.00 Typical High $281.84 | Professional | TC · Technical part | $41.69 | $100.00 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $44.67 | $144.54 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $16.60 | $51.29 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $28.18 | $93.33 | $138.04 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$110
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.