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 $295.12 Median $295.12 Typical High $1,819.70 | Facility | None | $295.12 | $295.12 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | TC · Technical part | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $245.47 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $50.12 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $194.98 | $245.47 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $954.99 | Facility | None | $316.23 | $489.78 | $954.99 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $398.11 | $549.54 | $831.76 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $95.50 | $144.54 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $331.13 | $467.74 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $2,630.27 | Facility | None | $616.60 | $933.25 | $2,630.27 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $446.68 | Facility | 26 · Professional part | $104.71 | $154.88 | $446.68 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $776.25 Typical High $2,187.76 | Facility | TC · Technical part | $512.86 | $776.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $281.84 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $47.86 | $95.50 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $234.42 | $478.63 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,041.74 | Facility | None | $549.54 | $870.96 | $2,041.74 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $346.74 | Facility | 26 · Professional part | $93.33 | $147.91 | $346.74 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $724.44 Typical High $1,698.24 | Facility | TC · Technical part | $457.09 | $724.44 | $1,698.24 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $660.69 | $1,023.29 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $109.65 | $169.82 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $549.54 Typical High $851.14 | Professional | TC · Technical part | $338.84 | $549.54 | $851.14 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $794.33 | Facility | None | $363.08 | $501.19 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $794.33 Typical High $1,905.46 | Professional | None (both parts) | $309.03 | $794.33 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $141.25 Typical High $588.84 | Professional | 26 · Professional part | $51.29 | $141.25 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $660.69 Typical High $1,621.81 | Professional | TC · Technical part | $257.04 | $660.69 | $1,621.81 |
United Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $851.14 | Facility | None | $602.56 | $645.65 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $275.42 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $85.11 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $741.31 | Professional | TC · Technical part | $229.09 | $426.58 | $741.31 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $125.89 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $58.88 | $61.66 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Utah. 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· 3rd of 51
$537
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.