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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | TC · Technical part | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $354.81 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $302.00 | $380.19 | $380.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $2,041.74 | Facility | None | $707.95 | $1,174.90 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $537.03 Median $724.44 Typical High $1,122.02 | Professional | None (both parts) | $537.03 | $724.44 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $81.28 | $131.83 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $645.65 Typical High $1,023.29 | Professional | TC · Technical part | $489.78 | $645.65 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $3,801.89 | Facility | None | $891.25 | $1,348.96 | $3,801.89 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $436.52 | Facility | 26 · Professional part | $102.33 | $154.88 | $436.52 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $1,202.26 Typical High $3,388.44 | Facility | TC · Technical part | $794.33 | $1,202.26 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $645.65 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $100.00 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $758.58 Typical High $1,202.26 | Professional | TC · Technical part | $562.34 | $758.58 | $1,202.26 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $3,019.95 | Facility | None | $794.33 | $1,258.93 | $3,019.95 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $346.74 | Facility | 26 · Professional part | $93.33 | $147.91 | $346.74 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $1,122.02 Typical High $2,630.27 | Facility | TC · Technical part | $707.95 | $1,122.02 | $2,630.27 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $645.65 Median $676.08 Typical High $1,258.93 | Professional | None (both parts) | $645.65 | $676.08 | $1,258.93 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $77.62 | $147.91 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $602.56 Typical High $1,122.02 | Professional | TC · Technical part | $575.44 | $602.56 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $1,737.80 | Facility | None | $467.74 | $691.83 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $851.14 Typical High $2,344.23 | Professional | None (both parts) | $389.05 | $851.14 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $114.82 Typical High $281.84 | Professional | 26 · Professional part | $53.70 | $114.82 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $741.31 Typical High $2,041.74 | Professional | TC · Technical part | $338.84 | $741.31 | $2,041.74 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,344.23 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $660.69 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $89.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $575.44 Typical High $1,071.52 | Professional | TC · Technical part | $309.03 | $575.44 | $1,071.52 |
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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $85.11 | $85.11 |
Where Minnesota sits
The same service costs 3.0 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
$708
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.