How much rates vary
Facilitymedian $251 · 10th to 90th $32 to $380Professionalmedian $59 · 10th to 90th $31 to $110
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 $32.36 Median $251.19 Typical High $331.13 | Facility | None | $32.36 | $251.19 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | TC · Technical part | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $28.18 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $8.71 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $19.95 | $21.88 | $30.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $758.58 | Facility | None | $208.93 | $389.05 | $758.58 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $43.65 | $63.10 | $85.11 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $18.20 | $24.55 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $45.71 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $269.15 | Facility | None | $63.10 | $95.50 | $269.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $77.62 | Facility | 26 · Professional part | $18.20 | $27.54 | $77.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $194.98 | Facility | TC · Technical part | $45.71 | $69.18 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $42.66 | $61.66 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $17.38 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $43.65 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $213.80 | Facility | None | $57.54 | $91.20 | $213.80 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $60.26 | Facility | 26 · Professional part | $16.22 | $25.70 | $60.26 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $154.88 | Facility | TC · Technical part | $40.74 | $64.57 | $154.88 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $93.33 | Professional | None (both parts) | $40.74 | $58.88 | $93.33 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $16.60 | $26.30 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $29.51 | $41.69 | $66.07 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $223.87 Typical High $588.84 | Facility | None | $50.12 | $223.87 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $87.10 Typical High $398.11 | Professional | None (both parts) | $39.81 | $87.10 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $20.42 Typical High $131.83 | Professional | 26 · Professional part | $9.33 | $20.42 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $60.26 Typical High $134.90 | Professional | TC · Technical part | $29.51 | $60.26 | $134.90 |
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 $33.11 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $33.11 | $61.66 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $8.71 | $14.79 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $25.12 | $47.86 | $91.20 |
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 $15.49 Median $15.49 Typical High $15.49 | Facility | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.46 |
Where Minnesota sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 1st of 51
$67.61
MN $67.61TX $26.92
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.