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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | TC · Technical part | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $218.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $162.18 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | TC · Technical part | $57.54 | $57.54 | $63.10 |
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 $229.09 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $229.09 | $338.84 | $549.54 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | 26 · Professional part | $245.47 | $331.13 | $537.03 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $288.40 | $288.40 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,023.29 | Facility | None | $346.74 | $537.03 | $1,023.29 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $380.19 Typical High $724.44 | Facility | 26 · Professional part | $245.47 | $380.19 | $724.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $302.00 | Facility | TC · Technical part | $102.33 | $158.49 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $891.25 | Professional | None (both parts) | $398.11 | $588.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $416.87 Typical High $630.96 | Professional | 26 · Professional part | $281.84 | $416.87 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $169.82 | $257.04 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | None | $309.03 | $501.19 | $870.96 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $218.78 Median $354.81 Typical High $616.60 | Facility | 26 · Professional part | $218.78 | $354.81 | $616.60 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $251.19 | Facility | TC · Technical part | $89.13 | $144.54 | $251.19 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $812.83 | Professional | None (both parts) | $346.74 | $524.81 | $812.83 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $371.54 Typical High $575.44 | Professional | 26 · Professional part | $245.47 | $371.54 | $575.44 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $151.36 | $234.42 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,230.27 Typical High $3,467.37 | Facility | None | $371.54 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $257.04 | $407.38 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $204.17 | $316.23 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $114.82 | $204.17 |
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 $245.47 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $245.47 | $407.38 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $316.23 Typical High $588.84 | Professional | 26 · Professional part | $186.21 | $316.23 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $120.23 | $208.93 |
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 $109.65 Median $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $44.67 | $53.70 |
Where Minnesota sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 12th of 51
$447
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.