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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $316.23 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $239.88 | $239.88 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $72.44 | $72.44 | $75.86 |
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 $346.74 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $346.74 | $501.19 | $812.83 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | 26 · Professional part | $363.08 | $489.78 | $794.33 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $426.58 | $426.58 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,513.56 | Facility | None | $512.86 | $794.33 | $1,513.56 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | 26 · Professional part | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $446.68 | Facility | TC · Technical part | $151.36 | $234.42 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $870.96 Typical High $1,318.26 | Professional | None (both parts) | $588.84 | $870.96 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $616.60 Typical High $912.01 | Professional | 26 · Professional part | $426.58 | $616.60 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $251.19 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,288.25 | Facility | None | $457.09 | $724.44 | $1,288.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $323.59 Median $512.86 Typical High $891.25 | Facility | 26 · Professional part | $323.59 | $512.86 | $891.25 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $371.54 | Facility | TC · Technical part | $131.83 | $213.80 | $371.54 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $512.86 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $512.86 | $776.25 | $1,202.26 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $549.54 Typical High $851.14 | Professional | 26 · Professional part | $363.08 | $549.54 | $851.14 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $223.87 | $346.74 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $4,677.35 Typical High $9,772.37 | Facility | None | $537.03 | $4,677.35 | $9,772.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $407.38 | $660.69 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $478.63 Typical High $851.14 | Professional | 26 · Professional part | $302.00 | $478.63 | $851.14 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $177.83 | $302.00 |
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 $389.05 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $389.05 | $707.95 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $467.74 Typical High $870.96 | Professional | 26 · Professional part | $269.15 | $467.74 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $186.21 | $309.03 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Where Minnesota sits
The same service costs 9.5 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
$676
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.