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 $363.08 Median $691.83 Typical High $1,995.26 | Facility | None | $363.08 | $691.83 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $309.03 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $316.23 | Professional | TC · Technical part | $257.04 | $302.00 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $660.69 | Facility | None | $162.18 | $331.13 | $660.69 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $537.03 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $537.03 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $144.54 | $229.09 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $776.25 Typical High $1,202.26 | Professional | TC · Technical part | $436.52 | $776.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $3,981.07 | Facility | None | $870.96 | $1,348.96 | $3,981.07 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $134.90 Median $213.80 Typical High $630.96 | Facility | 26 · Professional part | $134.90 | $213.80 | $630.96 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $1,148.15 Typical High $3,311.31 | Facility | TC · Technical part | $724.44 | $1,148.15 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $524.81 | $575.44 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $91.20 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $436.52 | $478.63 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $3,162.28 | Facility | None | $794.33 | $1,318.26 | $3,162.28 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $125.89 Median $208.93 Typical High $489.78 | Facility | 26 · Professional part | $125.89 | $208.93 | $489.78 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $1,096.48 Typical High $2,630.27 | Facility | TC · Technical part | $676.08 | $1,096.48 | $2,630.27 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $512.86 | $512.86 | $724.44 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $81.28 | $114.82 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $616.60 | Professional | TC · Technical part | $436.52 | $436.52 | $616.60 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $645.65 Typical High $1,230.27 | Facility | None | $309.03 | $645.65 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $870.96 Typical High $2,570.40 | Professional | None (both parts) | $331.13 | $870.96 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $177.83 Typical High $398.11 | Professional | 26 · Professional part | $67.61 | $177.83 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $724.44 Typical High $2,187.76 | Professional | TC · Technical part | $281.84 | $724.44 | $2,187.76 |
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 $245.47 Median $741.31 Typical High $1,202.26 | Professional | None (both parts) | $245.47 | $741.31 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $120.23 Typical High $199.53 | Professional | 26 · Professional part | $40.74 | $120.23 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $630.96 Typical High $1,000.00 | Professional | TC · Technical part | $208.93 | $630.96 | $1,000.00 |
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 $181.97 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Where Minnesota sits
The same service costs 9.1 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· 2nd of 51
$692
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.