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 $245.47 Median $1,288.25 Typical High $1,513.56 | Facility | None | $245.47 | $1,288.25 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | TC · Technical part | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $218.78 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $67.61 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $177.83 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,089.30 | Facility | None | $602.56 | $1,000.00 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $323.59 | $457.09 | $691.83 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $128.82 | $194.98 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $338.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,187.76 | Facility | None | $512.86 | $776.25 | $2,187.76 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $208.93 Typical High $602.56 | Facility | 26 · Professional part | $138.04 | $208.93 | $602.56 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $562.34 Typical High $1,584.89 | Facility | TC · Technical part | $371.54 | $562.34 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $245.47 | $478.63 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $134.90 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $173.78 | $346.74 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,737.80 | Facility | None | $457.09 | $724.44 | $1,737.80 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $125.89 Median $199.53 Typical High $467.74 | Facility | 26 · Professional part | $125.89 | $199.53 | $467.74 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $1,258.93 | Facility | TC · Technical part | $331.13 | $537.03 | $1,258.93 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $346.74 | $549.54 | $851.14 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $151.36 | $229.09 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $251.19 | $398.11 | $616.60 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $758.58 Typical High $2,238.72 | Facility | None | $389.05 | $758.58 | $2,238.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $676.08 Typical High $1,445.44 | Professional | None (both parts) | $263.03 | $676.08 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $186.21 Typical High $512.86 | Professional | 26 · Professional part | $70.79 | $186.21 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $489.78 Typical High $1,047.13 | Professional | TC · Technical part | $190.55 | $489.78 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,380.38 | $1,479.11 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $239.88 | $426.58 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $114.82 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $316.23 | $537.03 |
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 $123.03 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $123.03 Typical High $208.93 | Professional | 52 · Reduced service | $112.20 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $83.18 | Professional | 53 · Discontinued | $44.67 | $48.98 | $83.18 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$479
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.