How much rates vary
Facilitymedian $275 · 10th to 90th $83 to $692Professionalmedian $52 · 10th to 90th $28 to $110
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 $91.20 Median $288.40 Typical High $691.83 | Facility | None | $91.20 | $288.40 | $691.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 26 · Professional part | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | TC · Technical part | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $67.61 | Professional | None (both parts) | $23.44 | $28.18 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $7.59 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $19.50 | $20.42 | $33.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $77.62 Typical High $147.91 | Facility | None | $54.95 | $77.62 | $147.91 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $37.15 | $52.48 | $79.43 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $14.79 | $22.39 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $38.90 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $245.47 | Facility | None | $57.54 | $87.10 | $245.47 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $23.99 Typical High $67.61 | Facility | 26 · Professional part | $15.85 | $23.99 | $67.61 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $181.97 | Facility | TC · Technical part | $42.66 | $64.57 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $32.36 | $56.23 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.14 Typical High $26.92 | Professional | 26 · Professional part | $8.13 | $15.14 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $22.91 | $41.69 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $194.98 | Facility | None | $52.48 | $83.18 | $194.98 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $14.13 Median $22.39 Typical High $52.48 | Facility | 26 · Professional part | $14.13 | $22.39 | $52.48 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $141.25 | Facility | TC · Technical part | $38.02 | $60.26 | $141.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $38.90 | $63.10 | $95.50 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $16.98 | $25.70 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $28.18 | $45.71 | $70.79 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $190.55 Typical High $389.05 | Facility | None | $69.18 | $190.55 | $389.05 |
Medica Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $416.87 | Facility | TC · Technical part | $128.82 | $251.19 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $77.62 Typical High $645.65 | Professional | None (both parts) | $30.20 | $77.62 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.88 Typical High $229.09 | Professional | 26 · Professional part | $8.32 | $21.88 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $57.54 Typical High $537.03 | Professional | TC · Technical part | $22.39 | $57.54 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $26.92 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.18 Typical High $23.44 | Professional | 26 · Professional part | $7.59 | $13.18 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $37.15 | $64.57 |
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 $14.13 Median $14.13 Typical High $14.13 | Facility | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $23.99 | Professional | 52 · Reduced service | $13.18 | $14.13 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $9.55 | Professional | 53 · Discontinued | $5.37 | $5.62 | $9.55 |
Where Minnesota sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$69.18
MN $69.18MD $25.70
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.