How much rates vary
Facilitymedian $135 · 10th to 90th $50 to $501Professionalmedian $89 · 10th to 90th $50 to $155
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 26 · Professional part | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | TC · Technical part | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $40.74 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $13.49 | Professional | 26 · Professional part | $12.59 | $13.18 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $29.51 | $37.15 | $37.15 |
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 $70.79 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $70.79 | $102.33 | $138.04 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $26.30 | $37.15 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $446.68 | Facility | None | $104.71 | $158.49 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $117.49 | Facility | 26 · Professional part | $27.54 | $41.69 | $117.49 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $331.13 | Facility | TC · Technical part | $77.62 | $117.49 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $67.61 | $100.00 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $26.30 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $74.13 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $354.81 | Facility | None | $93.33 | $147.91 | $354.81 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $93.33 | Facility | 26 · Professional part | $24.55 | $38.90 | $93.33 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $257.04 | Facility | TC · Technical part | $69.18 | $109.65 | $257.04 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $67.61 | $95.50 | $151.36 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $25.12 | $40.74 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $70.79 | $112.20 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $407.38 | Facility | None | $63.10 | $79.43 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $87.10 Typical High $251.19 | Professional | None (both parts) | $44.67 | $87.10 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $26.92 Typical High $75.86 | Professional | 26 · Professional part | $13.80 | $26.92 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $173.78 | Professional | TC · Technical part | $30.20 | $58.88 | $173.78 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $41.69 | $72.44 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $12.88 | $22.39 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $48.98 Typical High $93.33 | Professional | TC · Technical part | $28.18 | $48.98 | $93.33 |
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 $25.12 Median $25.12 Typical High $25.12 | Facility | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $10.00 | $10.00 |
Where Minnesota sits
The same service costs 2.9 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
$89.13
AK $89.13UT $30.90
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.