How much rates vary
Facilitymedian $550 · 10th to 90th $174 to $2,754Professionalmedian $229 · 10th to 90th $120 to $603
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 $173.78 Median $1,862.09 Typical High $2,754.23 | Facility | None | $173.78 | $1,862.09 | $2,754.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | TC · Technical part | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $75.86 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $95.50 | $95.50 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $1,348.96 Typical High $2,137.96 | Facility | None | $134.90 | $1,348.96 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $107.15 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $114.82 | $154.88 | $251.19 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $134.90 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $851.14 | Facility | None | $288.40 | $446.68 | $851.14 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $177.83 Typical High $338.84 | Facility | 26 · Professional part | $114.82 | $177.83 | $338.84 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $512.86 | Facility | TC · Technical part | $173.78 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $331.13 | $489.78 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $131.83 | $194.98 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $288.40 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $707.95 | Facility | None | $257.04 | $407.38 | $707.95 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $162.18 Typical High $288.40 | Facility | 26 · Professional part | $102.33 | $162.18 | $288.40 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | TC · Technical part | $151.36 | $245.47 | $426.58 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $288.40 | $436.52 | $676.08 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $173.78 | $269.15 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $257.04 | $407.38 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $1,445.44 | Facility | None | $125.89 | $346.74 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $173.78 | $323.59 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $269.15 | Professional | 26 · Professional part | $95.50 | $147.91 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $194.98 | $346.74 |
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 $173.78 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $173.78 | $323.59 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $87.10 | $147.91 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $186.21 | $354.81 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $34.67 | $34.67 | $39.81 |
Where Minnesota sits
The same service costs 4.3 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· 7th of 51
$324
WI $562HI $132
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.