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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,819.70 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $354.81 Typical High $363.08 | Professional | 26 · Professional part | $338.84 | $354.81 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,479.11 | $1,621.81 | $1,621.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,819.70 | Facility | None | $575.44 | $933.25 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,548.13 Typical High $5,248.07 | Professional | None (both parts) | $2,511.89 | $3,548.13 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $602.56 Typical High $954.99 | Professional | 26 · Professional part | $457.09 | $602.56 | $954.99 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $2,951.21 Typical High $4,365.16 | Professional | TC · Technical part | $2,187.76 | $2,951.21 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $6,309.57 Typical High $17,782.79 | Facility | None | $4,168.69 | $6,309.57 | $17,782.79 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $741.31 Median $1,122.02 Typical High $3,162.28 | Facility | 26 · Professional part | $741.31 | $1,122.02 | $3,162.28 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $3,388.44 Median $5,128.61 Typical High $14,454.40 | Facility | TC · Technical part | $3,388.44 | $5,128.61 | $14,454.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,073.80 Typical High $6,309.57 | Professional | None (both parts) | $3,019.95 | $4,073.80 | $6,309.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $724.44 Typical High $1,148.15 | Professional | 26 · Professional part | $537.03 | $724.44 | $1,148.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $3,311.31 Typical High $5,248.07 | Professional | TC · Technical part | $2,454.71 | $3,311.31 | $5,248.07 |
Health Partners Setting Facility Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $14,125.38 | Facility | None | $3,715.35 | $5,888.44 | $14,125.38 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $676.08 Median $1,071.52 Typical High $2,511.89 | Facility | 26 · Professional part | $676.08 | $1,071.52 | $2,511.89 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $3,090.30 Median $4,897.79 Typical High $11,481.54 | Facility | TC · Technical part | $3,090.30 | $4,897.79 | $11,481.54 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,162.28 Typical High $5,888.44 | Professional | None (both parts) | $3,019.95 | $3,162.28 | $5,888.44 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $562.34 Typical High $1,071.52 | Professional | 26 · Professional part | $537.03 | $562.34 | $1,071.52 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,630.27 Typical High $4,897.79 | Professional | TC · Technical part | $2,454.71 | $2,630.27 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $4,073.80 | Facility | None | $1,995.26 | $3,162.28 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $4,570.88 Typical High $11,748.98 | Professional | None (both parts) | $2,089.30 | $4,570.88 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $851.14 Typical High $2,041.74 | Professional | 26 · Professional part | $380.19 | $851.14 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $3,801.89 Typical High $9,549.93 | Professional | TC · Technical part | $1,737.80 | $3,801.89 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $3,630.78 Typical High $6,606.93 | Professional | None (both parts) | $1,905.46 | $3,630.78 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $630.96 Typical High $1,174.90 | Professional | 26 · Professional part | $354.81 | $630.96 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $3,019.95 Typical High $5,370.32 | Professional | TC · Technical part | $1,548.82 | $3,019.95 | $5,370.32 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $363.08 | $398.11 | $398.11 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 7th of 51
$3,388
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.