How much rates vary
Facilitymedian $58 · 10th to 90th $20 to $457Professionalmedian $22 · 10th to 90th $12 to $51
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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | TC · Technical part | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | TC · Technical part | $3.55 | $3.98 | $3.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $616.60 | Facility | None | $186.21 | $302.00 | $616.60 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $26.30 | $33.88 | $52.48 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $26.30 | $41.69 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $6.92 Typical High $10.72 | Professional | TC · Technical part | $5.37 | $6.92 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $173.78 | Facility | None | $40.74 | $61.66 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $141.25 | Facility | 26 · Professional part | $33.11 | $50.12 | $141.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.76 Median $11.75 Typical High $33.88 | Facility | TC · Technical part | $7.76 | $11.75 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $20.42 Typical High $51.29 | Professional | None (both parts) | $12.30 | $20.42 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $10.00 | $16.60 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.40 Median $3.89 Typical High $10.00 | Professional | TC · Technical part | $2.40 | $3.89 | $10.00 |
Health Partners Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $138.04 | Facility | None | $36.31 | $58.88 | $138.04 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $112.20 | Facility | 26 · Professional part | $29.51 | $46.77 | $112.20 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $7.08 Median $11.22 Typical High $26.30 | Facility | TC · Technical part | $7.08 | $11.22 | $26.30 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $12.30 Median $20.42 Typical High $51.29 | Professional | None (both parts) | $12.30 | $20.42 | $51.29 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.22 Typical High $41.69 | Professional | 26 · Professional part | $10.00 | $16.22 | $41.69 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $3.89 Typical High $9.77 | Professional | TC · Technical part | $2.34 | $3.89 | $9.77 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $407.38 | Facility | None | $25.12 | $41.69 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.62 Typical High $269.15 | Professional | None (both parts) | $15.49 | $18.62 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $89.13 | Professional | 26 · Professional part | $12.59 | $15.14 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.24 Typical High $213.80 | Professional | TC · Technical part | $2.29 | $3.24 | $213.80 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $47.86 | Professional | None (both parts) | $15.49 | $18.20 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $38.90 | Professional | 26 · Professional part | $12.59 | $14.79 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.24 Typical High $8.91 | Professional | TC · Technical part | $2.29 | $3.24 | $8.91 |
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 $10.00 Median $10.00 Typical High $10.00 | Facility | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $8.91 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.55 | $3.98 | $3.98 |
Where Minnesota sits
The same service costs 2.5 times more in California than in Texas. 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· 18th of 51
$22.91
CA $40.74TX $16.22
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.