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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
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 $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 $181.97 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $181.97 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $95.50 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $95.50 | $125.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $478.63 | Facility | None | $190.55 | $269.15 | $478.63 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $125.89 | $186.21 | $288.40 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $173.78 | $257.04 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $144.54 | $158.49 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $3,090.30 | Facility | None | $724.44 | $1,096.48 | $3,090.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $302.00 Typical High $851.14 | Facility | 26 · Professional part | $199.53 | $302.00 | $851.14 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $794.33 Typical High $2,290.87 | Facility | TC · Technical part | $524.81 | $794.33 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $204.17 | $660.69 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $190.55 Typical High $331.13 | Professional | 26 · Professional part | $100.00 | $190.55 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $478.63 Typical High $870.96 | Professional | TC · Technical part | $102.33 | $478.63 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $2,454.71 | Facility | None | $660.69 | $1,047.13 | $2,454.71 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $281.84 Typical High $676.08 | Facility | 26 · Professional part | $177.83 | $281.84 | $676.08 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $758.58 Typical High $1,778.28 | Facility | TC · Technical part | $478.63 | $758.58 | $1,778.28 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $489.78 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $489.78 | $776.25 | $1,202.26 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $213.80 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $213.80 | $331.13 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $575.44 Typical High $870.96 | Professional | TC · Technical part | $354.81 | $575.44 | $870.96 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $602.56 | Facility | None | $316.23 | $436.52 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $776.25 Typical High $1,230.27 | Professional | None (both parts) | $295.12 | $776.25 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $269.15 Typical High $549.54 | Professional | 26 · Professional part | $104.71 | $269.15 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $512.86 Typical High $1,096.48 | Professional | TC · Technical part | $190.55 | $512.86 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $269.15 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $162.18 Typical High $295.12 | Professional | 26 · Professional part | $93.33 | $162.18 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $346.74 | $602.56 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $95.50 Typical High $162.18 | Professional | 52 · Reduced service | $91.20 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $66.07 | Professional | 53 · Discontinued | $37.15 | $38.02 | $66.07 |
Where Minnesota sits
The same service costs 3.1 times more in Alaska than in New York. 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· 13th of 51
$331
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.