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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | TC · Technical part | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $158.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $83.18 | $87.10 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $72.44 | $87.10 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $467.74 Typical High $1,380.38 | Facility | None | $173.78 | $467.74 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $218.78 | $295.12 | $457.09 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $147.91 | $234.42 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $144.54 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $1,548.82 | Facility | None | $363.08 | $549.54 | $1,548.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $186.21 Median $281.84 Typical High $794.33 | Facility | 26 · Professional part | $186.21 | $281.84 | $794.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $776.25 | Facility | TC · Technical part | $181.97 | $275.42 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $263.03 | $354.81 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $131.83 | $177.83 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $173.78 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $1,230.27 | Facility | None | $331.13 | $524.81 | $1,230.27 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $263.03 Typical High $616.60 | Facility | 26 · Professional part | $165.96 | $263.03 | $616.60 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $602.56 | Facility | TC · Technical part | $162.18 | $257.04 | $602.56 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $263.03 | $275.42 | $524.81 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $141.25 | $263.03 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $138.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $398.11 | Facility | None | $162.18 | $275.42 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $186.21 | $426.58 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $208.93 Typical High $512.86 | Professional | 26 · Professional part | $93.33 | $208.93 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $100.00 | $218.78 | $549.54 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $173.78 | $323.59 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $158.49 Typical High $295.12 | Professional | 26 · Professional part | $87.10 | $158.49 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $169.82 | $309.03 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $34.67 | $34.67 |
Where Minnesota sits
The same service costs 3.9 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
$295
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.