How much rates vary
Facilitymedian $339 · 10th to 90th $85 to $1,023Professionalmedian $209 · 10th to 90th $100 to $339
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 $85.11 Median $741.31 Typical High $1,023.29 | Facility | None | $85.11 | $741.31 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | TC · Technical part | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $43.65 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $2,238.72 | Facility | None | $398.11 | $1,071.52 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $169.82 | $218.78 | $309.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $104.71 | $162.18 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $114.82 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $416.87 | Facility | None | $138.04 | $218.78 | $416.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $199.53 | Facility | 26 · Professional part | $67.61 | $104.71 | $199.53 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $213.80 | Facility | TC · Technical part | $72.44 | $112.20 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $162.18 | $251.19 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $120.23 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $81.28 | $128.82 | $204.17 |
Health Partners Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $346.74 | Facility | None | $123.03 | $199.53 | $346.74 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $169.82 | Facility | 26 · Professional part | $60.26 | $97.72 | $169.82 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $177.83 | Facility | TC · Technical part | $64.57 | $102.33 | $177.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $141.25 | $223.87 | $346.74 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $109.65 | $165.96 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $117.49 | $177.83 |
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 $97.72 Median $173.78 Typical High $616.60 | Professional | None (both parts) | $97.72 | $173.78 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $100.00 Typical High $323.59 | Professional | 26 · Professional part | $54.95 | $100.00 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $295.12 | Professional | TC · Technical part | $43.65 | $79.43 | $295.12 |
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 $91.20 Median $162.18 Typical High $338.84 | Professional | None (both parts) | $91.20 | $162.18 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $51.29 | $89.13 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $75.86 | $154.88 |
8 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 $42.66 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 56 · Pre-op care only | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $8.71 |
Where Minnesota sits
The same service costs 5.9 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
$219
AK $331AL $56.23
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.