How much rates vary
Facilitymedian $54 · 10th to 90th $54 to $132Professionalmedian $54 · 10th to 90th $43 to $170
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | TC · Technical part | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $32.36 | $33.88 | $33.88 |
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 $85.11 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $85.11 | $85.11 | $100.00 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $100.00 | Facility | None | $79.43 | $91.20 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $58.88 | $125.89 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $47.86 Typical High $158.49 | Professional | 26 · Professional part | $22.39 | $47.86 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $77.62 Typical High $239.88 | Professional | TC · Technical part | $37.15 | $77.62 | $239.88 |
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 $58.88 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $58.88 | $107.15 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $21.88 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $36.31 | $66.07 | $109.65 |
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 $26.92 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 54 · Surgery only | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 55 · Aftercare only | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 54 · Surgery only | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $7.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.37 | $5.37 |
Where Minnesota sits
The same service costs 3.3 times more in Nebraska 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· 34th of 51
$53.70
NE $112NY $33.88
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.