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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | TC · Technical part | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $43.65 | $52.48 | $52.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $446.68 | Facility | None | $79.43 | $213.80 | $446.68 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $85.11 | $104.71 | $154.88 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $16.60 | $24.55 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $87.10 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $549.54 | Facility | None | $128.82 | $194.98 | $549.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $83.18 | Facility | 26 · Professional part | $19.50 | $29.51 | $83.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $467.74 | Facility | TC · Technical part | $109.65 | $165.96 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $154.88 | Professional | None (both parts) | $38.90 | $48.98 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.41 Typical High $23.99 | Professional | 26 · Professional part | $5.89 | $7.41 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $131.83 | Professional | TC · Technical part | $33.11 | $41.69 | $131.83 |
Health Partners Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $436.52 | Facility | None | $114.82 | $181.97 | $436.52 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $17.78 Median $28.18 Typical High $66.07 | Facility | 26 · Professional part | $17.78 | $28.18 | $66.07 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $363.08 | Facility | TC · Technical part | $97.72 | $154.88 | $363.08 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $147.91 | Professional | None (both parts) | $38.90 | $38.90 | $147.91 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $22.39 | Professional | 26 · Professional part | $5.89 | $5.89 | $22.39 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | TC · Technical part | $33.11 | $33.11 | $125.89 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $100.00 Typical High $154.88 | Facility | None | $53.70 | $100.00 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $346.74 | Professional | None (both parts) | $45.71 | $57.54 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $165.96 | Professional | 26 · Professional part | $7.94 | $9.77 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $288.40 | Professional | TC · Technical part | $38.02 | $47.86 | $288.40 |
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 $45.71 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $45.71 | $54.95 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $9.55 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $44.67 | $95.50 |
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 $30.90 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $12.30 | $12.30 |
Where Minnesota sits
The same service costs 3.5 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· 14th of 51
$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.