How much rates vary
Facilitymedian $71 · 10th to 90th $68 to $132Professionalmedian $71 · 10th to 90th $43 to $245
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | TC · Technical part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $158.49 | Facility | None | $53.70 | $89.13 | $158.49 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $42.66 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $117.49 | $117.49 | $138.04 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $131.83 | Facility | None | $95.50 | $123.03 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $549.54 | Professional | None (both parts) | $87.10 | $186.21 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $70.79 Typical High $218.78 | Professional | 26 · Professional part | $33.11 | $70.79 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $331.13 | Professional | TC · Technical part | $54.95 | $114.82 | $331.13 |
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 $85.11 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $85.11 | $154.88 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $60.26 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $51.29 | $95.50 | $162.18 |
10 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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 54 · Surgery only | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 54 · Surgery only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Where Minnesota sits
The same service costs 4.4 times more in Texas than in New York. 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· 35th of 51
$70.79
TX $174NY $39.81
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.