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 $33.88 Median $346.74 Typical High $398.11 | Facility | None | $33.88 | $346.74 | $398.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | TC · Technical part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $31.62 | $33.88 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $11.48 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $22.91 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $812.83 | Facility | None | $208.93 | $389.05 | $812.83 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $50.12 | $67.61 | $91.20 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $21.88 | $30.90 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $45.71 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $302.00 | Facility | None | $70.79 | $107.15 | $302.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $100.00 | Facility | 26 · Professional part | $23.44 | $35.48 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $199.53 | Facility | TC · Technical part | $46.77 | $70.79 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $34.67 | $69.18 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $12.59 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $45.71 | $79.43 |
Health Partners Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $239.88 | Facility | None | $63.10 | $100.00 | $239.88 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $79.43 | Facility | 26 · Professional part | $21.38 | $33.88 | $79.43 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $158.49 | Facility | TC · Technical part | $42.66 | $67.61 | $158.49 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $51.29 | $75.86 | $117.49 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $16.98 | $25.70 | $38.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $51.29 | $77.62 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $380.19 | Facility | None | $54.95 | $91.20 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $38.02 | $93.33 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $14.79 | $37.15 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $23.44 | $61.66 | $128.82 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $38.02 | $69.18 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $14.13 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $23.44 | $44.67 | $77.62 |
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 $16.98 Median $16.98 Typical High $16.98 | Facility | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $15.14 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $6.92 | $8.32 |
Where Minnesota sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$72.44
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.