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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | TC · Technical part | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $602.56 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | 26 · Professional part | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $295.12 | $295.12 | $316.23 |
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 $446.68 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $446.68 | $645.65 | $933.25 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $645.65 Typical High $812.83 | Professional | 26 · Professional part | $457.09 | $645.65 | $812.83 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $549.54 Typical High $891.25 | Professional | TC · Technical part | $501.19 | $549.54 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $6,025.60 | Facility | None | $1,412.54 | $2,137.96 | $6,025.60 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $645.65 Median $977.24 Typical High $2,754.23 | Facility | 26 · Professional part | $645.65 | $977.24 | $2,754.23 |
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 $1,023.29 Median $1,778.28 Typical High $1,949.84 | Professional | None (both parts) | $1,023.29 | $1,778.28 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $831.76 Typical High $912.01 | Professional | 26 · Professional part | $478.63 | $831.76 | $912.01 |
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 $1,258.93 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,258.93 | $1,995.26 | $4,677.35 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $588.84 Median $933.25 Typical High $2,187.76 | Facility | 26 · Professional part | $588.84 | $933.25 | $2,187.76 |
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 $933.25 Median $1,778.28 Typical High $1,862.09 | Professional | None (both parts) | $933.25 | $1,778.28 | $1,862.09 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $812.83 Typical High $870.96 | Professional | 26 · Professional part | $426.58 | $812.83 | $870.96 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $933.25 Typical High $1,000.00 | Professional | TC · Technical part | $489.78 | $933.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $2,884.03 | Facility | None | $831.76 | $1,380.38 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,412.54 Typical High $5,128.61 | Professional | None (both parts) | $660.69 | $1,412.54 | $5,128.61 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $724.44 Typical High $2,398.83 | Professional | 26 · Professional part | $363.08 | $724.44 | $2,398.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $707.95 Typical High $4,677.35 | Professional | TC · Technical part | $338.84 | $707.95 | $4,677.35 |
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 $645.65 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $645.65 | $1,174.90 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $630.96 Typical High $1,071.52 | Professional | 26 · Professional part | $346.74 | $630.96 | $1,071.52 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $616.60 Typical High $1,023.29 | Professional | TC · Technical part | $309.03 | $616.60 | $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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$1,072
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.