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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $58.88 | $66.07 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,089.30 | Facility | None | $676.08 | $1,047.13 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $53.70 | $69.18 | $117.49 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $72.44 | $107.15 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $70.79 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $954.99 | Facility | None | $223.87 | $338.84 | $954.99 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $371.54 | Facility | 26 · Professional part | $87.10 | $131.83 | $371.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $575.44 | Facility | TC · Technical part | $134.90 | $204.17 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $162.18 | $213.80 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $85.11 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $131.83 | $204.17 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $758.58 | Facility | None | $199.53 | $316.23 | $758.58 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $295.12 | Facility | 26 · Professional part | $79.43 | $125.89 | $295.12 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $457.09 | Facility | TC · Technical part | $120.23 | $190.55 | $457.09 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $162.18 | $169.82 | $316.23 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $67.61 | $125.89 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $102.33 | $190.55 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $1,380.38 | Facility | None | $87.10 | $169.82 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $588.84 Typical High $1,548.82 | Professional | None (both parts) | $245.47 | $588.84 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $97.72 Typical High $257.04 | Professional | 26 · Professional part | $44.67 | $97.72 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $501.19 Typical High $1,513.56 | Professional | TC · Technical part | $208.93 | $501.19 | $1,513.56 |
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 $251.19 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $251.19 | $467.74 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $74.13 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $208.93 | $398.11 | $724.44 |
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 $53.70 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $21.38 | $21.38 |
Where Minnesota sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 10th of 51
$158
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.