How much rates vary
Facilitymedian $162 · 10th to 90th $100 to $955Professionalmedian $100 · 10th to 90th $63 to $251
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | TC · Technical part | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $43.65 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $39.81 | $47.86 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $1,778.28 | Facility | None | $79.43 | $213.80 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $128.82 | $190.55 | $257.04 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $97.72 | $131.83 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $93.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $891.25 | Facility | None | $204.17 | $309.03 | $891.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $457.09 | Facility | 26 · Professional part | $104.71 | $158.49 | $457.09 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $426.58 | Facility | TC · Technical part | $100.00 | $151.36 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $63.10 | $102.33 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $134.90 | Professional | 26 · Professional part | $32.36 | $52.48 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $30.20 | $50.12 | $125.89 |
Health Partners Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $691.83 | Facility | None | $186.21 | $295.12 | $691.83 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $354.81 | Facility | 26 · Professional part | $95.50 | $151.36 | $354.81 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $338.84 | Facility | TC · Technical part | $91.20 | $144.54 | $338.84 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $61.66 | $102.33 | $257.04 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $31.62 | $52.48 | $131.83 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $30.20 | $50.12 | $125.89 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $204.17 | Facility | None | $123.03 | $158.49 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $549.54 | Professional | None (both parts) | $75.86 | $89.13 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $281.84 | Professional | 26 · Professional part | $40.74 | $47.86 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $354.81 | Professional | TC · Technical part | $34.67 | $41.69 | $354.81 |
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 $74.13 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $74.13 | $89.13 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $47.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $93.33 | Professional | TC · Technical part | $33.88 | $40.74 | $93.33 |
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 $48.98 Median $48.98 Typical High $48.98 | Facility | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $19.95 | $19.95 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 13th of 51
$100
AK $229NJ $61.66
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.