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 $398.11 Median $398.11 Typical High $870.96 | Facility | None | $398.11 | $398.11 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $346.74 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $61.66 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $346.74 | Professional | TC · Technical part | $288.40 | $338.84 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $1,096.48 Typical High $2,344.23 | Facility | None | $416.87 | $1,096.48 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $501.19 Median $691.83 Typical High $1,047.13 | Professional | None (both parts) | $501.19 | $691.83 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $104.71 | $165.96 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $912.01 | Professional | TC · Technical part | $446.68 | $588.84 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $3,548.13 | Facility | None | $831.76 | $1,258.93 | $3,548.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $128.82 Median $194.98 Typical High $549.54 | Facility | 26 · Professional part | $128.82 | $194.98 | $549.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $3,019.95 | Facility | TC · Technical part | $707.95 | $1,071.52 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $812.83 Typical High $1,258.93 | Professional | None (both parts) | $602.56 | $812.83 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $125.89 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $676.08 Typical High $1,071.52 | Professional | TC · Technical part | $501.19 | $676.08 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,818.38 | Facility | None | $741.31 | $1,174.90 | $2,818.38 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $436.52 | Facility | 26 · Professional part | $114.82 | $181.97 | $436.52 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $1,000.00 Typical High $2,344.23 | Facility | TC · Technical part | $630.96 | $1,000.00 | $2,344.23 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $602.56 | $630.96 | $1,174.90 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $97.72 | $181.97 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $537.03 Typical High $1,000.00 | Professional | TC · Technical part | $501.19 | $537.03 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $691.83 Typical High $1,202.26 | Facility | None | $281.84 | $691.83 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $812.83 Typical High $2,238.72 | Professional | None (both parts) | $363.08 | $812.83 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $144.54 Typical High $776.25 | Professional | 26 · Professional part | $64.57 | $144.54 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $676.08 Typical High $1,862.09 | Professional | TC · Technical part | $302.00 | $676.08 | $1,862.09 |
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 $338.84 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $630.96 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $109.65 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $524.81 Typical High $954.99 | Professional | TC · Technical part | $275.42 | $524.81 | $954.99 |
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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $79.43 | $79.43 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 5th of 51
$676
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.