How much rates vary
Facilitymedian $87 · 10th to 90th $35 to $234Professionalmedian $72 · 10th to 90th $35 to $105
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | TC · Technical part | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $21.88 | $21.88 | $21.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $323.59 | Facility | None | $79.43 | $147.91 | $323.59 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $48.98 | $70.79 | $97.72 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $18.20 | $26.92 | $38.02 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $44.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $316.23 | Facility | None | $74.13 | $112.20 | $316.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $120.23 | Facility | 26 · Professional part | $28.18 | $42.66 | $120.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $194.98 | Facility | TC · Technical part | $45.71 | $69.18 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $54.95 | $93.33 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $35.48 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $57.54 | $64.57 |
Health Partners Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $251.19 | Facility | None | $66.07 | $104.71 | $251.19 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $95.50 | Facility | 26 · Professional part | $25.12 | $40.74 | $95.50 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $154.88 | Facility | TC · Technical part | $40.74 | $64.57 | $154.88 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $48.98 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $48.98 | $93.33 | $100.00 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $35.48 | $38.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $57.54 Typical High $61.66 | Professional | TC · Technical part | $30.20 | $57.54 | $61.66 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $154.88 | Facility | None | $44.67 | $66.07 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $72.44 Typical High $363.08 | Professional | None (both parts) | $33.88 | $72.44 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $223.87 | Professional | 26 · Professional part | $14.45 | $30.20 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $42.66 Typical High $281.84 | Professional | TC · Technical part | $19.95 | $42.66 | $281.84 |
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 $33.88 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $33.88 | $63.10 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $13.80 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $36.31 | $60.26 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Where Minnesota sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 1st of 51
$74.13
MN $74.13AL $28.18
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.