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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | TC · Technical part | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $537.03 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $407.38 | $501.19 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,890.45 | Facility | None | $1,258.93 | $1,995.26 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $776.25 | $1,071.52 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $213.80 Typical High $346.74 | Professional | 26 · Professional part | $162.18 | $213.80 | $346.74 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Professional | TC · Technical part | $645.65 | $851.14 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $5,623.41 | Facility | None | $1,318.26 | $1,995.26 | $5,623.41 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $269.15 Median $407.38 Typical High $1,148.15 | Facility | 26 · Professional part | $269.15 | $407.38 | $1,148.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,584.89 Typical High $4,466.84 | Facility | TC · Technical part | $1,047.13 | $1,584.89 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,288.25 Typical High $1,995.26 | Professional | None (both parts) | $954.99 | $1,288.25 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $263.03 Typical High $407.38 | Professional | 26 · Professional part | $194.98 | $263.03 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $1,584.89 | Professional | TC · Technical part | $758.58 | $1,023.29 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $4,466.84 | Facility | None | $1,174.90 | $1,862.09 | $4,466.84 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $389.05 Typical High $912.01 | Facility | 26 · Professional part | $239.88 | $389.05 | $912.01 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,479.11 Typical High $3,548.13 | Facility | TC · Technical part | $933.25 | $1,479.11 | $3,548.13 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $954.99 | $1,000.00 | $1,862.09 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $380.19 | Professional | 26 · Professional part | $194.98 | $204.17 | $380.19 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $1,479.11 | Professional | TC · Technical part | $758.58 | $794.33 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $3,388.44 | Facility | None | $724.44 | $1,047.13 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,288.25 Typical High $3,548.13 | Professional | None (both parts) | $588.84 | $1,288.25 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $302.00 Typical High $741.31 | Professional | 26 · Professional part | $138.04 | $302.00 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $977.24 Typical High $2,754.23 | Professional | TC · Technical part | $457.09 | $977.24 | $2,754.23 |
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 $549.54 Median $977.24 Typical High $1,862.09 | Professional | None (both parts) | $549.54 | $977.24 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $128.82 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $758.58 Typical High $1,445.44 | Professional | TC · Technical part | $416.87 | $758.58 | $1,445.44 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $125.89 | $125.89 |
Where Minnesota sits
The same service costs 3.1 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· 6th of 51
$1,023
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.