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 $173.78 Median $295.12 Typical High $891.25 | Facility | None | $173.78 | $295.12 | $891.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TC · Technical part | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $147.91 | $173.78 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $38.90 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $134.90 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $2,089.30 | Facility | None | $416.87 | $912.01 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $223.87 | $323.59 | $489.78 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $70.79 | $109.65 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $251.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $1,548.82 | Facility | None | $363.08 | $549.54 | $1,548.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $346.74 | Facility | 26 · Professional part | $81.28 | $123.03 | $346.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $426.58 Typical High $1,202.26 | Facility | TC · Technical part | $281.84 | $426.58 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $331.13 Typical High $602.56 | Professional | None (both parts) | $158.49 | $331.13 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $39.81 | $79.43 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $257.04 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $1,202.26 | Facility | None | $323.59 | $512.86 | $1,202.26 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $275.42 | Facility | 26 · Professional part | $74.13 | $117.49 | $275.42 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | TC · Technical part | $251.19 | $398.11 | $933.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $239.88 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $239.88 | $389.05 | $602.56 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $87.10 | $134.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $302.00 | $467.74 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $1,778.28 | Facility | None | $165.96 | $478.63 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $457.09 Typical High $1,023.29 | Professional | None (both parts) | $169.82 | $457.09 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $40.74 | $107.15 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $363.08 Typical High $794.33 | Professional | TC · Technical part | $131.83 | $363.08 | $794.33 |
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 $158.49 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $158.49 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $66.07 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $213.80 | $389.05 |
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 $77.62 Median $87.10 Typical High $144.54 | Professional | 52 · Reduced service | $77.62 | $87.10 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $34.67 | $58.88 |
Where Minnesota sits
The same service costs 3.0 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
$316
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.