How much rates vary
Facilitymedian $60 · 10th to 90th $21 to $174Professionalmedian $30 · 10th to 90th $21 to $65
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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | TC · Technical part | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | TC · Technical part | $13.49 | $13.49 | $13.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $281.84 | Facility | None | $47.86 | $128.82 | $281.84 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $28.84 | $46.77 | $64.57 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $17.78 | $23.99 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $27.54 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $218.78 | Facility | None | $51.29 | $77.62 | $218.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $18.62 Median $28.18 Typical High $81.28 | Facility | 26 · Professional part | $18.62 | $28.18 | $81.28 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $138.04 | Facility | TC · Technical part | $32.36 | $48.98 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $30.90 | Professional | None (both parts) | $24.55 | $26.92 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $11.48 | Professional | 26 · Professional part | $9.12 | $10.00 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.98 Typical High $19.50 | Professional | TC · Technical part | $15.49 | $16.98 | $19.50 |
Health Partners Setting Facility Modifier None Typical Low $45.71 Median $72.44 Typical High $173.78 | Facility | None | $45.71 | $72.44 | $173.78 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $26.92 Typical High $63.10 | Facility | 26 · Professional part | $16.98 | $26.92 | $63.10 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $107.15 | Facility | TC · Technical part | $28.84 | $45.71 | $107.15 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.91 | $8.91 | $8.91 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $34.67 Typical High $102.33 | Facility | None | $27.54 | $34.67 | $102.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $22.39 Median $44.67 Typical High $114.82 | Professional | None (both parts) | $22.39 | $44.67 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $19.95 Typical High $114.82 | Professional | 26 · Professional part | $9.55 | $19.95 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $24.55 Typical High $70.79 | Professional | TC · Technical part | $12.59 | $24.55 | $70.79 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $134.90 | Facility | None | $93.33 | $102.33 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $20.89 | $38.90 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $9.55 | $17.78 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $11.48 | $21.88 | $37.15 |
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 $10.47 Median $10.47 Typical High $10.47 | Facility | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Where Minnesota sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 8th of 51
$30.90
WI $39.81NC $17.38
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.