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 $181.97 Median $181.97 Typical High $1,023.29 | Facility | None | $181.97 | $181.97 | $1,023.29 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | TC · Technical part | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $120.23 | $181.97 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $131.83 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $1,096.48 Typical High $2,290.87 | Facility | None | $416.87 | $1,096.48 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $239.88 | $331.13 | $467.74 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $89.13 | $125.89 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,621.81 | Facility | None | $380.19 | $575.44 | $1,621.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $416.87 | Facility | 26 · Professional part | $97.72 | $147.91 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $416.87 Typical High $1,202.26 | Facility | TC · Technical part | $275.42 | $416.87 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $125.89 | $354.81 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $43.65 | $95.50 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $263.03 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $1,258.93 | Facility | None | $338.84 | $537.03 | $1,258.93 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $331.13 | Facility | 26 · Professional part | $89.13 | $141.25 | $331.13 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | TC · Technical part | $251.19 | $398.11 | $933.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $269.15 | $407.38 | $630.96 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $107.15 | $162.18 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $302.00 | $457.09 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $758.58 | Facility | None | $190.55 | $288.40 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $269.15 Typical High $831.76 | Professional | None (both parts) | $109.65 | $269.15 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $120.23 Typical High $263.03 | Professional | 26 · Professional part | $43.65 | $120.23 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $173.78 Typical High $602.56 | Professional | TC · Technical part | $61.66 | $173.78 | $602.56 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $104.71 | $162.18 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $70.79 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $85.11 | $186.21 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $56.23 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $38.02 | Professional | 53 · Discontinued | $22.39 | $36.31 | $38.02 |
Where Minnesota sits
The same service costs 3.2 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· 2nd of 51
$302
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.