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 $288.40 Median $3,311.31 Typical High $4,677.35 | Facility | None | $288.40 | $3,311.31 | $4,677.35 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $288.40 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $95.50 | $95.50 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $190.55 | $190.55 | $223.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $2,691.53 Typical High $4,265.80 | Facility | None | $229.09 | $2,691.53 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $138.04 | $199.53 | $323.59 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $194.98 Typical High $316.23 | Professional | 26 · Professional part | $144.54 | $194.98 | $316.23 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $169.82 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Facility | None | $489.78 | $758.58 | $1,445.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $426.58 | Facility | 26 · Professional part | $144.54 | $223.87 | $426.58 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $537.03 Typical High $1,023.29 | Facility | TC · Technical part | $338.84 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $562.34 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $165.96 | $245.47 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $575.44 Typical High $870.96 | Professional | TC · Technical part | $371.54 | $575.44 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $128.82 Median $204.17 Typical High $354.81 | Facility | 26 · Professional part | $128.82 | $204.17 | $354.81 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $489.78 Typical High $851.14 | Facility | TC · Technical part | $302.00 | $489.78 | $851.14 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $1,148.15 | Professional | None (both parts) | $489.78 | $741.31 | $1,148.15 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $338.84 | Professional | 26 · Professional part | $144.54 | $218.78 | $338.84 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $512.86 Typical High $794.33 | Professional | TC · Technical part | $346.74 | $512.86 | $794.33 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $575.44 Typical High $2,238.72 | Facility | None | $128.82 | $575.44 | $2,238.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $295.12 | $537.03 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $181.97 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $691.83 | Professional | TC · Technical part | $223.87 | $380.19 | $691.83 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $537.03 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $181.97 Typical High $338.84 | Professional | 26 · Professional part | $107.15 | $181.97 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $363.08 | $707.95 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | 52 · Reduced service | $144.54 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 53 · Discontinued | $57.54 | $57.54 | $66.07 |
Where Minnesota sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 3rd of 51
$661
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.