How much rates vary
Facilitymedian $1,230 · 10th to 90th $126 to $11,749Professionalmedian $245 · 10th to 90th $78 to $1,096
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 $75.86 Median $5,011.87 Typical High $12,022.64 | Facility | None | $75.86 | $5,011.87 | $12,022.64 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | TC · Technical part | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $263.03 | Professional | None (both parts) | $75.86 | $75.86 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $165.96 | Professional | 26 · Professional part | $56.23 | $56.23 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $19.50 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,786.30 Median $6,760.83 Typical High $12,022.64 | Facility | None | $4,786.30 | $6,760.83 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $77.62 | $112.20 | $194.98 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $112.20 | $186.21 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $95.50 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $245.47 | Facility | 26 · Professional part | $83.18 | $128.82 | $245.47 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $676.08 Typical High $1,288.25 | Facility | TC · Technical part | $436.52 | $676.08 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $870.96 Typical High $1,318.26 | Professional | None (both parts) | $549.54 | $870.96 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $141.25 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $724.44 Typical High $1,096.48 | Professional | TC · Technical part | $467.74 | $724.44 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $208.93 | Facility | 26 · Professional part | $74.13 | $120.23 | $208.93 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $616.60 Typical High $1,071.52 | Facility | TC · Technical part | $380.19 | $616.60 | $1,071.52 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $524.81 | $776.25 | $1,202.26 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $125.89 | $194.98 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $660.69 Typical High $1,023.29 | Professional | TC · Technical part | $436.52 | $660.69 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $562.34 Typical High $6,165.95 | Facility | None | $131.83 | $562.34 | $6,165.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $1,318.26 | Professional | None (both parts) | $446.68 | $707.95 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $309.03 Typical High $562.34 | Professional | 26 · Professional part | $194.98 | $309.03 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $234.42 | $380.19 | $831.76 |
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 $426.58 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $426.58 | $707.95 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $309.03 Typical High $575.44 | Professional | 26 · Professional part | $151.36 | $309.03 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $234.42 | $398.11 | $724.44 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | 52 · Reduced service | $38.02 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | 53 · Discontinued | $15.14 | $15.14 | $26.30 |
Where Minnesota sits
The same service costs 4.8 times more in Nebraska 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· 2nd of 51
$661
NE $724SC $151
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.