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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | TC · Technical part | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $54.95 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $14.13 | $26.30 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $40.74 | $125.89 | $125.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $588.84 | Facility | None | $173.78 | $380.19 | $588.84 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $199.53 | $281.84 | $398.11 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $47.86 | $72.44 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $1,348.96 | Facility | None | $316.23 | $478.63 | $1,348.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $234.42 | Facility | 26 · Professional part | $54.95 | $83.18 | $234.42 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $1,122.02 | Facility | TC · Technical part | $263.03 | $398.11 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $97.72 | $288.40 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $22.39 | $53.70 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $69.18 | $234.42 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $1,071.52 | Facility | None | $281.84 | $446.68 | $1,071.52 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $186.21 | Facility | 26 · Professional part | $48.98 | $77.62 | $186.21 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $870.96 | Facility | TC · Technical part | $234.42 | $371.54 | $870.96 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $229.09 | $338.84 | $524.81 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $60.26 | $91.20 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $281.84 | $436.52 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $331.13 | Facility | None | $66.07 | $239.88 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $407.38 Typical High $1,000.00 | Professional | None (both parts) | $162.18 | $407.38 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $114.82 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $114.82 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $275.42 Typical High $724.44 | Professional | TC · Technical part | $107.15 | $275.42 | $724.44 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $109.65 | $208.93 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $38.02 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $147.91 | $331.13 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $30.20 | $34.67 |
Where Minnesota sits
The same service costs 5.2 times more in Alaska than in Indiana. 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
$269
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.