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 $151.36 Median $512.86 Typical High $933.25 | Facility | None | $151.36 | $512.86 | $933.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 26 · Professional part | $23.99 | $23.99 | $23.99 |
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 $128.82 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $128.82 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $23.99 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $125.89 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $380.19 Typical High $794.33 | Facility | None | $141.25 | $380.19 | $794.33 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $204.17 | $302.00 | $457.09 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $45.71 | $70.79 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $257.04 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $1,445.44 | Facility | None | $338.84 | $512.86 | $1,445.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $75.86 Typical High $213.80 | Facility | 26 · Professional part | $50.12 | $75.86 | $213.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $1,230.27 | Facility | TC · Technical part | $288.40 | $436.52 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $158.49 | $316.23 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $22.39 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $275.42 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,122.02 | Facility | None | $302.00 | $478.63 | $1,122.02 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $169.82 | Facility | 26 · Professional part | $44.67 | $72.44 | $169.82 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $954.99 | Facility | TC · Technical part | $257.04 | $407.38 | $954.99 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $223.87 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $223.87 | $363.08 | $562.34 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $53.70 | $83.18 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $309.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $851.14 | Facility | None | $218.78 | $416.87 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $436.52 Typical High $1,230.27 | Professional | None (both parts) | $169.82 | $436.52 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $70.79 Typical High $239.88 | Professional | 26 · Professional part | $26.30 | $70.79 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $141.25 | $371.54 | $1,122.02 |
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 $151.36 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $151.36 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $128.82 | $239.88 | $407.38 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $30.20 | $31.62 |
Where Minnesota sits
The same service costs 3.7 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
$324
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.