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 $104.71 Median $416.87 Typical High $602.56 | Facility | None | $104.71 | $416.87 | $602.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | TC · Technical part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $40.74 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $10.47 | $10.96 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $33.11 | $50.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,202.26 | Facility | None | $309.03 | $602.56 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $63.10 | $91.20 | $120.23 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $22.39 | $30.90 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $47.86 | $69.18 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $389.05 | Facility | None | $91.20 | $138.04 | $389.05 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $97.72 | Facility | 26 · Professional part | $22.91 | $34.67 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $295.12 | Facility | TC · Technical part | $69.18 | $104.71 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $61.66 | $89.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $21.88 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $66.07 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $309.03 | Facility | None | $83.18 | $131.83 | $309.03 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $75.86 | Facility | 26 · Professional part | $20.42 | $32.36 | $75.86 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $234.42 | Facility | TC · Technical part | $61.66 | $97.72 | $234.42 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $58.88 | $83.18 | $134.90 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $20.89 | $33.11 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $63.10 | $102.33 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $371.54 Typical High $575.44 | Facility | None | $109.65 | $371.54 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $66.07 Median $138.04 Typical High $630.96 | Professional | None (both parts) | $66.07 | $138.04 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $31.62 Typical High $223.87 | Professional | 26 · Professional part | $14.79 | $31.62 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $50.12 | $104.71 | $257.04 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,348.96 | Facility | None | $933.25 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $52.48 | $104.71 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $12.88 | $22.91 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $81.28 | $154.88 |
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 $21.88 Median $21.88 Typical High $21.88 | Facility | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $20.42 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.91 Typical High $9.33 | Professional | 53 · Discontinued | $8.13 | $8.91 | $9.33 |
Where Minnesota sits
The same service costs 3.3 times more in Minnesota 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· 1st of 51
$105
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.