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 $138.04 Median $549.54 Typical High $630.96 | Facility | None | $138.04 | $549.54 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | TC · Technical part | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $123.03 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $24.55 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $114.82 | $177.83 |
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 $177.83 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $177.83 | $257.04 | $398.11 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $45.71 | $72.44 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $144.54 | $213.80 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $1,230.27 | Facility | None | $288.40 | $436.52 | $1,230.27 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $218.78 | Facility | 26 · Professional part | $51.29 | $77.62 | $218.78 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | TC · Technical part | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $138.04 | $269.15 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $19.95 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $229.09 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $977.24 | Facility | None | $263.03 | $416.87 | $977.24 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $169.82 | Facility | 26 · Professional part | $45.71 | $72.44 | $169.82 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $794.33 | Facility | TC · Technical part | $213.80 | $338.84 | $794.33 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $194.98 | $309.03 | $478.63 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $54.95 | $85.11 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $257.04 | $398.11 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $812.83 | Facility | None | $173.78 | $275.42 | $812.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $380.19 Typical High $1,023.29 | Professional | None (both parts) | $144.54 | $380.19 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $72.44 Typical High $204.17 | Professional | 26 · Professional part | $25.12 | $72.44 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $302.00 Typical High $933.25 | Professional | TC · Technical part | $117.49 | $302.00 | $933.25 |
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 $131.83 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $131.83 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $22.39 | $42.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $107.15 | $199.53 | $338.84 |
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 $69.18 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $27.54 | $31.62 |
Where Minnesota sits
The same service costs 3.2 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
$263
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.