How much rates vary
Facilitymedian $200 · 10th to 90th $50 to $3,802Professionalmedian $91 · 10th to 90th $51 to $186
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | TC · Technical part | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $50.12 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $10.96 | Professional | TC · Technical part | $10.47 | $10.47 | $10.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,621.81 Median $4,168.69 Typical High $7,079.46 | Facility | None | $1,621.81 | $4,168.69 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $52.48 | $77.62 | $123.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $72.44 | $109.65 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $66.07 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $245.47 | Facility | None | $83.18 | $128.82 | $245.47 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $173.78 | Facility | 26 · Professional part | $58.88 | $91.20 | $173.78 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $70.79 | Facility | TC · Technical part | $23.44 | $36.31 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $97.72 | $141.25 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $100.00 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $39.81 | $60.26 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $208.93 | Facility | None | $74.13 | $117.49 | $208.93 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $147.91 | Facility | 26 · Professional part | $52.48 | $85.11 | $147.91 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $58.88 | Facility | TC · Technical part | $20.89 | $33.88 | $58.88 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $83.18 | $125.89 | $194.98 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $89.13 | $138.04 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $35.48 | $54.95 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $1,258.93 Typical High $3,162.28 | Facility | None | $89.13 | $1,258.93 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $63.10 | $100.00 | $190.55 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $50.12 | $77.62 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $16.98 | $29.51 | $52.48 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $60.26 | $100.00 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $42.66 | $75.86 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $16.22 | $29.51 | $50.12 |
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 $25.12 Median $25.12 Typical High $25.12 | Facility | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $10.00 | $10.00 | $12.88 |
Where Minnesota sits
The same service costs 51.3 times more in Oklahoma than in New York. 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
$105
OK $2,570NY $50.12
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.