How much rates vary
Facilitymedian $708 · 10th to 90th $112 to $5,754Professionalmedian $275 · 10th to 90th $117 to $1,259
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 $112.20 Median $112.20 Typical High $5,754.40 | Facility | None | $112.20 | $112.20 | $5,754.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | TC · Technical part | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $29.51 | $29.51 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $5,370.32 | Facility | None | $2,041.74 | $2,884.03 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $117.49 | $173.78 | $281.84 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $123.03 | $169.82 | $275.42 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $144.54 | $144.54 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $123.03 Median $194.98 Typical High $371.54 | Facility | 26 · Professional part | $123.03 | $194.98 | $371.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $645.65 Typical High $1,230.27 | Facility | TC · Technical part | $416.87 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $912.01 Typical High $1,380.38 | Professional | None (both parts) | $588.84 | $912.01 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $144.54 | $208.93 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $707.95 Typical High $1,071.52 | Professional | TC · Technical part | $446.68 | $707.95 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $177.83 Typical High $309.03 | Facility | 26 · Professional part | $109.65 | $177.83 | $309.03 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Facility | TC · Technical part | $371.54 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $549.54 Median $812.83 Typical High $1,258.93 | Professional | None (both parts) | $549.54 | $812.83 | $1,258.93 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $186.21 | $288.40 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $630.96 Typical High $977.24 | Professional | TC · Technical part | $416.87 | $630.96 | $977.24 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,737.80 | Facility | None | $125.89 | $426.58 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $8,912.51 | Professional | None (both parts) | $323.59 | $602.56 | $8,912.51 |
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 $85.11 Median $389.05 Typical High $8,709.64 | Professional | TC · Technical part | $85.11 | $389.05 | $8,709.64 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $588.84 Typical High $2,951.21 | Professional | None (both parts) | $208.93 | $588.84 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $123.03 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $371.54 Typical High $2,754.23 | Professional | TC · Technical part | $51.29 | $371.54 | $2,754.23 |
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 $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $34.67 | Professional | 53 · Discontinued | $22.39 | $22.39 | $34.67 |
Where Minnesota sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 8th of 51
$457
TN $2,344SC $126
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.