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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $48.98 | $48.98 | $52.48 |
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 $239.88 Typical High $389.05 | Professional | None (both parts) | $165.96 | $239.88 | $389.05 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $173.78 | $234.42 | $380.19 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $758.58 | Facility | None | $257.04 | $398.11 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $269.15 Typical High $512.86 | Facility | 26 · Professional part | $173.78 | $269.15 | $512.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $245.47 | Facility | TC · Technical part | $83.18 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $295.12 | $436.52 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $199.53 | $295.12 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $141.25 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
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 $74.13 Median $120.23 Typical High $208.93 | Facility | TC · Technical part | $74.13 | $120.23 | $208.93 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $257.04 | $389.05 | $602.56 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $263.03 Typical High $407.38 | Professional | 26 · Professional part | $173.78 | $263.03 | $407.38 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $125.89 | $194.98 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $1,230.27 Typical High $3,467.37 | Facility | None | $275.42 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $190.55 | $302.00 | $575.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $144.54 | $223.87 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $93.33 | $169.82 |
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 $181.97 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $181.97 | $302.00 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $131.83 | $223.87 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $95.50 | $169.82 |
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 $81.28 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $33.11 | $39.81 |
Where Minnesota sits
The same service costs 8.3 times more in Louisiana 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· 14th of 51
$324
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.