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 $616.60 Typical High $1,174.90 | Facility | None | $147.91 | $616.60 | $1,174.90 |
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 $147.91 Typical High $165.96 | Professional | None (both parts) | $128.82 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $23.99 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $125.89 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $645.65 | Facility | None | $165.96 | $309.03 | $645.65 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $213.80 | $295.12 | $467.74 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $44.67 | $72.44 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $263.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $1,479.11 | Facility | None | $338.84 | $512.86 | $1,479.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $213.80 | Facility | 26 · Professional part | $48.98 | $74.13 | $213.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $1,258.93 | Facility | TC · Technical part | $295.12 | $446.68 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $223.87 | $354.81 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $51.29 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $302.00 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $1,148.15 | Facility | None | $309.03 | $489.78 | $1,148.15 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $165.96 | Facility | 26 · Professional part | $44.67 | $70.79 | $165.96 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $977.24 | Facility | TC · Technical part | $263.03 | $416.87 | $977.24 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $245.47 | $323.59 | $512.86 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $46.77 | $74.13 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $208.93 | $281.84 | $436.52 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $501.19 | Facility | None | $199.53 | $239.88 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $1,202.26 | Professional | None (both parts) | $173.78 | $354.81 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $56.23 Typical High $199.53 | Professional | 26 · Professional part | $25.70 | $56.23 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $316.23 Typical High $1,122.02 | Professional | TC · Technical part | $144.54 | $316.23 | $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 $158.49 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $158.49 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $23.44 | $43.65 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $245.47 | $446.68 |
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 $66.07 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $30.20 | $30.20 |
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
$309
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.