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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | TC · Technical part | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $288.40 | $288.40 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,019.95 Median $6,165.95 Typical High $8,912.51 | Facility | None | $3,019.95 | $6,165.95 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $251.19 | $371.54 | $537.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $467.74 | Professional | 26 · Professional part | $263.03 | $371.54 | $467.74 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $316.23 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $4,786.30 | Facility | None | $1,122.02 | $1,698.24 | $4,786.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $371.54 Median $562.34 Typical High $1,584.89 | Facility | 26 · Professional part | $371.54 | $562.34 | $1,584.89 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $1,148.15 Typical High $3,235.94 | Facility | TC · Technical part | $758.58 | $1,148.15 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,412.54 Typical High $1,584.89 | Professional | None (both parts) | $812.83 | $1,412.54 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $467.74 Typical High $524.81 | Professional | 26 · Professional part | $275.42 | $467.74 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $954.99 Typical High $1,047.13 | Professional | TC · Technical part | $549.54 | $954.99 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,000.00 | $1,621.81 | $3,801.89 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $331.13 Median $524.81 Typical High $1,258.93 | Facility | 26 · Professional part | $331.13 | $524.81 | $1,258.93 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $1,071.52 Typical High $2,511.89 | Facility | TC · Technical part | $676.08 | $1,071.52 | $2,511.89 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,412.54 Typical High $1,513.56 | Professional | None (both parts) | $741.31 | $1,412.54 | $1,513.56 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $467.74 Typical High $501.19 | Professional | 26 · Professional part | $245.47 | $467.74 | $501.19 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $954.99 Typical High $1,000.00 | Professional | TC · Technical part | $501.19 | $954.99 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $933.25 Typical High $2,691.53 | Facility | None | $660.69 | $933.25 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,122.02 Typical High $4,466.84 | Professional | None (both parts) | $512.86 | $1,122.02 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $407.38 Typical High $2,089.30 | Professional | 26 · Professional part | $204.17 | $407.38 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $707.95 Typical High $4,168.69 | Professional | TC · Technical part | $323.59 | $707.95 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $891.25 Typical High $1,621.81 | Professional | None (both parts) | $457.09 | $891.25 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $354.81 Typical High $602.56 | Professional | 26 · Professional part | $199.53 | $354.81 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $575.44 Typical High $1,023.29 | Professional | TC · Technical part | $288.40 | $575.44 | $1,023.29 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Where Minnesota sits
The same service costs 3.0 times more in Wisconsin than in North 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· 10th of 51
$832
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.