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 $147.91 Median $524.81 Typical High $812.83 | Facility | None | $147.91 | $524.81 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 26 · Professional part | $22.39 | $22.39 | $22.39 |
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 $134.90 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $134.90 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $22.39 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $125.89 | $199.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $1,122.02 | Facility | None | $208.93 | $489.78 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $194.98 | $275.42 | $416.87 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $44.67 | $67.61 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $234.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,318.26 | Facility | None | $309.03 | $467.74 | $1,318.26 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $199.53 | Facility | 26 · Professional part | $46.77 | $70.79 | $199.53 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $1,122.02 | Facility | TC · Technical part | $257.04 | $389.05 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $144.54 | $295.12 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $22.91 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $120.23 | $251.19 | $446.68 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,023.29 | Facility | None | $275.42 | $436.52 | $1,023.29 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $158.49 | Facility | 26 · Professional part | $42.66 | $67.61 | $158.49 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $870.96 | Facility | TC · Technical part | $234.42 | $371.54 | $870.96 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $204.17 | $331.13 | $512.86 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $50.12 | $77.62 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $275.42 | $426.58 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $776.25 | Facility | None | $190.55 | $302.00 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $389.05 Typical High $1,174.90 | Professional | None (both parts) | $154.88 | $389.05 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $66.07 Typical High $309.03 | Professional | 26 · Professional part | $23.99 | $66.07 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $323.59 Typical High $1,047.13 | Professional | TC · Technical part | $128.82 | $323.59 | $1,047.13 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $134.90 | $251.19 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $213.80 | $363.08 |
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 $74.13 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $26.92 | $29.51 | $37.15 |
Where Minnesota sits
The same service costs 3.3 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· 2nd of 51
$288
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.