How much rates vary
Facilitymedian $302 · 10th to 90th $112 to $912Professionalmedian $269 · 10th to 90th $145 to $490
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | TC · Technical part | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | TC · Technical part | $14.13 | $14.13 | $16.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $912.01 | Facility | None | $288.40 | $446.68 | $912.01 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $208.93 | $263.03 | $426.58 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $186.21 | $229.09 | $371.54 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $33.88 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $588.84 | Facility | None | $199.53 | $309.03 | $588.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $269.15 Typical High $512.86 | Facility | 26 · Professional part | $173.78 | $269.15 | $512.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $38.02 Typical High $74.13 | Facility | TC · Technical part | $24.55 | $38.02 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $223.87 | $354.81 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $316.23 Typical High $501.19 | Professional | 26 · Professional part | $199.53 | $316.23 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $44.67 | $69.18 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $501.19 | Facility | None | $177.83 | $281.84 | $501.19 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $154.88 Median $251.19 Typical High $436.52 | Facility | 26 · Professional part | $154.88 | $251.19 | $436.52 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $61.66 | Facility | TC · Technical part | $21.88 | $35.48 | $61.66 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $199.53 | $323.59 | $489.78 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $173.78 | $281.84 | $426.58 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $39.81 | $61.66 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,288.25 | Facility | None | $125.89 | $323.59 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $1,148.15 | Professional | None (both parts) | $144.54 | $269.15 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $245.47 Typical High $812.83 | Professional | 26 · Professional part | $131.83 | $245.47 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $29.51 Typical High $676.08 | Professional | TC · Technical part | $13.80 | $29.51 | $676.08 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $134.90 | $251.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $123.03 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $13.80 | $25.70 | $48.98 |
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 $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 54 · Surgery only | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $14.13 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska than in Alabama. 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
$275
AK $490AL $105
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.