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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | TC · Technical part | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $199.53 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $117.49 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | TC · Technical part | $83.18 | $83.18 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,466.84 Median $12,022.64 Typical High $28,840.32 | Facility | None | $4,466.84 | $12,022.64 | $28,840.32 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $165.96 | $245.47 | $398.11 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $354.81 | Professional | 26 · Professional part | $177.83 | $229.09 | $354.81 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $208.93 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $954.99 | Facility | None | $323.59 | $501.19 | $954.99 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $275.42 Typical High $524.81 | Facility | 26 · Professional part | $173.78 | $275.42 | $524.81 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $436.52 | Facility | TC · Technical part | $147.91 | $229.09 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $371.54 | $549.54 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $204.17 | $295.12 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $251.19 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $812.83 | Facility | None | $288.40 | $467.74 | $812.83 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $154.88 Median $251.19 Typical High $436.52 | Facility | 26 · Professional part | $154.88 | $251.19 | $436.52 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $371.54 | Facility | TC · Technical part | $131.83 | $213.80 | $371.54 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $323.59 | $489.78 | $758.58 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $263.03 Typical High $407.38 | Professional | 26 · Professional part | $177.83 | $263.03 | $407.38 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $223.87 | $346.74 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,230.27 Typical High $3,467.37 | Facility | None | $346.74 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $229.09 | $371.54 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $229.09 Typical High $416.87 | Professional | 26 · Professional part | $147.91 | $229.09 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $100.00 | $165.96 | $295.12 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $223.87 | $371.54 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $134.90 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $165.96 | $309.03 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $39.81 | $47.86 |
Where Minnesota sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 21st of 51
$372
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.