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 $501.19 Median $891.25 Typical High $1,000.00 | Facility | None | $501.19 | $891.25 | $1,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $524.81 | Professional | None (both parts) | $407.38 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $89.13 | $93.33 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $323.59 | $416.87 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $436.52 Median $1,096.48 Typical High $2,344.23 | Facility | None | $436.52 | $1,096.48 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $630.96 Median $870.96 Typical High $1,318.26 | Professional | None (both parts) | $630.96 | $870.96 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $120.23 | $158.49 | $251.19 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $707.95 Typical High $1,122.02 | Professional | TC · Technical part | $537.03 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $4,570.88 | Facility | None | $1,071.52 | $1,584.89 | $4,570.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $194.98 Median $295.12 Typical High $831.76 | Facility | 26 · Professional part | $194.98 | $295.12 | $831.76 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $1,318.26 Typical High $3,715.35 | Facility | TC · Technical part | $870.96 | $1,318.26 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,621.81 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $295.12 | Professional | 26 · Professional part | $141.25 | $190.55 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $831.76 Typical High $1,318.26 | Professional | TC · Technical part | $616.60 | $831.76 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,548.13 | Facility | None | $954.99 | $1,513.56 | $3,548.13 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $281.84 Typical High $660.69 | Facility | 26 · Professional part | $173.78 | $281.84 | $660.69 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $776.25 Median $1,230.27 Typical High $2,884.03 | Facility | TC · Technical part | $776.25 | $1,230.27 | $2,884.03 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $1,513.56 | Professional | None (both parts) | $758.58 | $812.83 | $1,513.56 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $141.25 | $147.91 | $275.42 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $660.69 Typical High $1,230.27 | Professional | TC · Technical part | $630.96 | $660.69 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $812.83 Typical High $1,047.13 | Facility | None | $371.54 | $812.83 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,023.29 Typical High $2,754.23 | Professional | None (both parts) | $457.09 | $1,023.29 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $218.78 Typical High $776.25 | Professional | 26 · Professional part | $100.00 | $218.78 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $794.33 Typical High $2,187.76 | Professional | TC · Technical part | $363.08 | $794.33 | $2,187.76 |
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 $416.87 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $416.87 | $794.33 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $165.96 Typical High $309.03 | Professional | 26 · Professional part | $93.33 | $165.96 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $630.96 Typical High $1,148.15 | Professional | TC · Technical part | $323.59 | $630.96 | $1,148.15 |
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 $251.19 Median $251.19 Typical High $251.19 | Facility | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $87.10 | $102.33 | $102.33 |
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· 4th of 51
$871
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.