How much rates vary
Facilitymedian $339 · 10th to 90th $98 to $759Professionalmedian $49 · 10th to 90th $26 to $117
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 $97.72 Median $338.84 Typical High $758.58 | Facility | None | $97.72 | $338.84 | $758.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | 26 · Professional part | $3.39 | $3.39 | $3.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | TC · Technical part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $26.30 Typical High $69.18 | Professional | None (both parts) | $12.30 | $26.30 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.39 Typical High $6.03 | Professional | 26 · Professional part | $3.24 | $3.39 | $6.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $22.91 | $40.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $489.78 | Facility | None | $40.74 | $91.20 | $489.78 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $34.67 | $47.86 | $74.13 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.31 Typical High $9.77 | Professional | 26 · Professional part | $4.90 | $6.31 | $9.77 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $42.66 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $229.09 | Facility | None | $53.70 | $81.28 | $229.09 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $30.20 | Facility | 26 · Professional part | $7.08 | $10.72 | $30.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $199.53 | Facility | TC · Technical part | $46.77 | $70.79 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $58.88 Typical High $104.71 | Professional | None (both parts) | $29.51 | $58.88 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $6.76 Typical High $12.02 | Professional | 26 · Professional part | $3.72 | $6.76 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $26.30 | $51.29 | $91.20 |
Health Partners Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $181.97 | Facility | None | $48.98 | $77.62 | $181.97 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $23.99 | Facility | 26 · Professional part | $6.31 | $10.00 | $23.99 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $158.49 | Facility | TC · Technical part | $42.66 | $67.61 | $158.49 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $36.31 | $58.88 | $89.13 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $4.68 | $7.59 | $11.75 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $50.12 | $77.62 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $323.59 Typical High $1,023.29 | Facility | None | $89.13 | $323.59 | $1,023.29 |
Medica Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $371.54 Typical High $562.34 | Facility | TC · Technical part | $309.03 | $371.54 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $83.18 Typical High $724.44 | Professional | None (both parts) | $29.51 | $83.18 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $9.55 Typical High $288.40 | Professional | 26 · Professional part | $3.55 | $9.55 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $74.13 Typical High $660.69 | Professional | TC · Technical part | $25.12 | $74.13 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $25.12 | $46.77 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.89 Typical High $10.23 | Professional | 26 · Professional part | $3.24 | $5.89 | $10.23 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $41.69 | $79.43 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $13.18 Typical High $21.88 | Professional | 52 · Reduced service | $12.30 | $13.18 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.25 Typical High $8.71 | Professional | 53 · Discontinued | $4.90 | $5.25 | $8.71 |
Where Minnesota sits
The same service costs 2.9 times more in Kansas 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· 2nd of 51
$69.18
KS $74.13MD $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.