How much rates vary
Facilitymedian $145 · 10th to 90th $74 to $550Professionalmedian $138 · 10th to 90th $74 to $245
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | TC · Technical part | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $67.61 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $45.71 | $50.12 | $50.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $794.33 | Facility | None | $79.43 | $213.80 | $794.33 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $97.72 | $144.54 | $204.17 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $45.71 | $64.57 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $660.69 | Facility | None | $154.88 | $234.42 | $660.69 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $208.93 | Facility | 26 · Professional part | $48.98 | $74.13 | $208.93 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $457.09 | Facility | TC · Technical part | $104.71 | $158.49 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $100.00 | $147.91 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $46.77 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $102.33 | $165.96 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $524.81 | Facility | None | $138.04 | $218.78 | $524.81 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $162.18 | Facility | 26 · Professional part | $43.65 | $69.18 | $162.18 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $354.81 | Facility | TC · Technical part | $95.50 | $151.36 | $354.81 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $100.00 | $141.25 | $229.09 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $44.67 | $70.79 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $97.72 | $154.88 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $173.78 | Facility | None | $93.33 | $125.89 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $83.18 | $162.18 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $50.12 Typical High $141.25 | Professional | 26 · Professional part | $25.70 | $50.12 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $57.54 | $112.20 | $295.12 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $208.93 | Facility | None | $147.91 | $162.18 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $75.86 | $134.90 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $52.48 | $93.33 | $177.83 |
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 $37.15 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $13.49 | $14.79 | $14.79 |
Where Minnesota sits
The same service costs 4.9 times more in Nebraska 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· 4th of 51
$138
NE $155UT $31.62
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.