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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | TC · Technical part | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $120.23 | $165.96 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $125.89 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $758.58 | Facility | None | $141.25 | $331.13 | $758.58 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $251.19 | $338.84 | $524.81 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $74.13 | $114.82 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $199.53 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,659.59 | Facility | None | $380.19 | $575.44 | $1,659.59 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $346.74 | Facility | 26 · Professional part | $81.28 | $123.03 | $346.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $1,288.25 | Facility | TC · Technical part | $302.00 | $457.09 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $173.78 | $354.81 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $30.90 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $141.25 | $288.40 | $524.81 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,288.25 | Facility | None | $346.74 | $549.54 | $1,288.25 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $275.42 | Facility | 26 · Professional part | $74.13 | $117.49 | $275.42 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $1,023.29 | Facility | TC · Technical part | $269.15 | $426.58 | $1,023.29 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $257.04 | $407.38 | $630.96 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $87.10 | $134.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $323.59 | $501.19 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $354.81 | Facility | None | $204.17 | $263.03 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $457.09 Typical High $1,348.96 | Professional | None (both parts) | $177.83 | $457.09 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $77.62 Typical High $371.54 | Professional | 26 · Professional part | $29.51 | $77.62 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $398.11 Typical High $1,096.48 | Professional | TC · Technical part | $151.36 | $398.11 | $1,096.48 |
United Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $371.54 | Facility | None | $263.03 | $281.84 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $165.96 | $281.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $239.88 | $436.52 |
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 $83.18 Median $83.18 Typical High $83.18 | Facility | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $64.57 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $25.70 | $33.11 | $34.67 |
Where Minnesota sits
The same service costs 3.5 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
$331
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.