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 $851.14 Median $851.14 Typical High $18,197.01 | Facility | None | $851.14 | $851.14 | $18,197.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $851.14 | $851.14 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $891.25 | Professional | 26 · Professional part | $630.96 | $630.96 | $891.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | TC · Technical part | $223.87 | $223.87 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,000.00 Median $16,595.87 Typical High $28,840.32 | Facility | None | $10,000.00 | $16,595.87 | $28,840.32 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,318.26 Typical High $2,089.30 | Professional | None (both parts) | $891.25 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $1,288.25 Typical High $2,041.74 | Professional | 26 · Professional part | $933.25 | $1,288.25 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,862.09 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,584.89 | $2,454.71 | $4,677.35 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | 26 · Professional part | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | TC · Technical part | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,691.53 Typical High $3,981.07 | Professional | None (both parts) | $1,778.28 | $2,691.53 | $3,981.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,584.89 Typical High $2,398.83 | Professional | 26 · Professional part | $1,096.48 | $1,584.89 | $2,398.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,071.52 Typical High $1,621.81 | Professional | TC · Technical part | $691.83 | $1,071.52 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,412.54 | $2,238.72 | $3,890.45 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $831.76 Median $1,348.96 Typical High $2,344.23 | Facility | 26 · Professional part | $831.76 | $1,348.96 | $2,344.23 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | TC · Technical part | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,398.83 Typical High $3,715.35 | Professional | None (both parts) | $1,584.89 | $2,398.83 | $3,715.35 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $1,412.54 Typical High $2,187.76 | Professional | 26 · Professional part | $933.25 | $1,412.54 | $2,187.76 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $954.99 Typical High $1,479.11 | Professional | TC · Technical part | $645.65 | $954.99 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,659.59 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,949.84 Typical High $3,467.37 | Professional | None (both parts) | $1,202.26 | $1,949.84 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $1,258.93 Typical High $2,238.72 | Professional | 26 · Professional part | $776.25 | $1,258.93 | $2,238.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $707.95 Typical High $1,258.93 | Professional | TC · Technical part | $416.87 | $707.95 | $1,258.93 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,949.84 Typical High $3,467.37 | Professional | None (both parts) | $1,071.52 | $1,949.84 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $1,230.27 Typical High $2,238.72 | Professional | 26 · Professional part | $707.95 | $1,230.27 | $2,238.72 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $707.95 Typical High $1,288.25 | Professional | TC · Technical part | $389.05 | $707.95 | $1,288.25 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $169.82 | $169.82 | $204.17 |
Where Minnesota sits
The same service costs 5.2 times more in Louisiana 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
$1,995
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.