How much rates vary
Facilitymedian $93 · 10th to 90th $38 to $257Professionalmedian $42 · 10th to 90th $23 to $93
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | TC · Technical part | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $15.14 | $17.38 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $16.60 | $19.95 | $19.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $194.98 Typical High $363.08 | Facility | None | $79.43 | $194.98 | $363.08 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $50.12 | $64.57 | $97.72 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $29.51 | $45.71 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $33.88 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $331.13 | Facility | None | $77.62 | $117.49 | $331.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $154.88 | Facility | 26 · Professional part | $36.31 | $54.95 | $154.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $177.83 | Facility | TC · Technical part | $41.69 | $63.10 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $38.90 Typical High $97.72 | Professional | None (both parts) | $23.44 | $38.90 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.20 Typical High $45.71 | Professional | 26 · Professional part | $10.96 | $18.20 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $20.89 Typical High $52.48 | Professional | TC · Technical part | $12.59 | $20.89 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $263.03 | Facility | None | $69.18 | $109.65 | $263.03 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $120.23 | Facility | 26 · Professional part | $32.36 | $51.29 | $120.23 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $141.25 | Facility | TC · Technical part | $37.15 | $58.88 | $141.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $23.44 Median $38.90 Typical High $97.72 | Professional | None (both parts) | $23.44 | $38.90 | $97.72 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $45.71 | Professional | 26 · Professional part | $10.96 | $17.78 | $45.71 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $20.42 Typical High $52.48 | Professional | TC · Technical part | $12.59 | $20.42 | $52.48 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $144.54 | Facility | None | $52.48 | $64.57 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $354.81 | Professional | None (both parts) | $28.84 | $38.02 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $97.72 | Professional | 26 · Professional part | $14.13 | $17.38 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $181.97 | Professional | TC · Technical part | $15.14 | $18.62 | $181.97 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $208.93 | Facility | None | $147.91 | $162.18 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $28.84 | $34.67 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $38.02 | Professional | 26 · Professional part | $14.13 | $16.60 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $40.74 | Professional | TC · Technical part | $15.14 | $17.78 | $40.74 |
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 $18.62 Median $18.62 Typical High $18.62 | Facility | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in New York. 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· 12th of 51
$42.66
AK $87.10NY $25.70
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.