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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 26 · Professional part | $46.77 | $46.77 | $46.77 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
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 $138.04 Median $190.55 Typical High $426.58 | Facility | None | $138.04 | $190.55 | $426.58 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $162.18 | $288.40 | $467.74 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $120.23 | $190.55 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $177.83 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,288.25 | Facility | None | $275.42 | $436.52 | $1,288.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $512.86 | Facility | 26 · Professional part | $112.20 | $177.83 | $512.86 |
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 $165.96 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $165.96 | $186.21 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $74.13 | $100.00 |
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 $257.04 Median $426.58 Typical High $1,000.00 | Facility | None | $257.04 | $426.58 | $1,000.00 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $169.82 Typical High $407.38 | Facility | 26 · Professional part | $104.71 | $169.82 | $407.38 |
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 $165.96 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $165.96 | $165.96 | $234.42 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $67.61 | $67.61 | $95.50 |
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 $154.88 Median $229.09 Typical High $524.81 | Facility | None | $154.88 | $229.09 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $295.12 Typical High $1,000.00 | Professional | None (both parts) | $112.20 | $295.12 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $123.03 Typical High $416.87 | Professional | 26 · Professional part | $45.71 | $123.03 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $169.82 Typical High $588.84 | Professional | TC · Technical part | $66.07 | $169.82 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $83.18 | $251.19 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $34.67 | $102.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $47.86 | $147.91 | $234.42 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Where Minnesota sits
The same service costs 5.8 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· 7th of 51
$209
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.