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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | TC · Technical part | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $977.24 Typical High $1,122.02 | Professional | None (both parts) | $891.25 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $151.36 | Professional | 26 · Professional part | $117.49 | $131.83 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $870.96 | Professional | TC · Technical part | $758.58 | $851.14 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $3,548.13 | Facility | None | $1,122.02 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,995.26 Typical High $2,570.40 | Professional | None (both parts) | $1,445.44 | $1,995.26 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $263.03 Typical High $354.81 | Professional | 26 · Professional part | $186.21 | $263.03 | $354.81 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,737.80 Typical High $2,290.87 | Professional | TC · Technical part | $1,258.93 | $1,737.80 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $8,709.64 | Facility | None | $2,041.74 | $3,090.30 | $8,709.64 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $275.42 Median $416.87 Typical High $1,174.90 | Facility | 26 · Professional part | $275.42 | $416.87 | $1,174.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $2,691.53 Typical High $7,585.78 | Facility | TC · Technical part | $1,778.28 | $2,691.53 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,995.26 Typical High $3,388.44 | Professional | None (both parts) | $954.99 | $1,995.26 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $269.15 Typical High $467.74 | Professional | 26 · Professional part | $131.83 | $269.15 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,698.24 Typical High $2,951.21 | Professional | TC · Technical part | $831.76 | $1,698.24 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $6,918.31 | Facility | None | $1,819.70 | $2,951.21 | $6,918.31 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | 26 · Professional part | $251.19 | $398.11 | $933.25 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $2,511.89 Typical High $5,888.44 | Facility | TC · Technical part | $1,584.89 | $2,511.89 | $5,888.44 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,238.72 Typical High $3,388.44 | Professional | None (both parts) | $1,479.11 | $2,238.72 | $3,388.44 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $302.00 Typical High $457.09 | Professional | 26 · Professional part | $199.53 | $302.00 | $457.09 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,905.46 Typical High $2,951.21 | Professional | TC · Technical part | $1,288.25 | $1,905.46 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,230.27 | $1,548.82 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,511.89 Typical High $5,888.44 | Professional | None (both parts) | $1,023.29 | $2,511.89 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $331.13 Typical High $758.58 | Professional | 26 · Professional part | $134.90 | $331.13 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,344.23 Typical High $5,128.61 | Professional | TC · Technical part | $891.25 | $2,344.23 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,311.31 | Facility | None | $2,344.23 | $2,511.89 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,819.70 Typical High $3,235.94 | Professional | None (both parts) | $1,023.29 | $1,819.70 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $229.09 Typical High $407.38 | Professional | 26 · Professional part | $128.82 | $229.09 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,621.81 Typical High $2,818.38 | Professional | TC · Technical part | $891.25 | $1,621.81 | $2,818.38 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $194.98 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $194.98 | $223.87 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 3rd of 51
$1,950
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.