How much rates vary
Facilitymedian $1,047 · 10th to 90th $437 to $4,365Professionalmedian $832 · 10th to 90th $490 to $1,413
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | TC · Technical part | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $436.52 | $436.52 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $204.17 | $204.17 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | TC · Technical part | $229.09 | $229.09 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $2,089.30 Typical High $7,413.10 | Facility | None | $776.25 | $2,089.30 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $691.83 Median $912.01 Typical High $1,380.38 | Professional | None (both parts) | $691.83 | $912.01 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $436.52 Typical High $660.69 | Professional | 26 · Professional part | $331.13 | $436.52 | $660.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $758.58 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $588.84 | $758.58 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $363.08 | $501.19 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $4,365.16 | Facility | None | $1,000.00 | $1,513.56 | $4,365.16 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $478.63 Median $724.44 Typical High $2,041.74 | Facility | 26 · Professional part | $478.63 | $724.44 | $2,041.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $812.83 Typical High $2,290.87 | Facility | TC · Technical part | $537.03 | $812.83 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,445.44 | Professional | None (both parts) | $575.44 | $831.76 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $389.05 Typical High $691.83 | Professional | 26 · Professional part | $309.03 | $389.05 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $288.40 | $436.52 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $3,388.44 | Facility | None | $912.01 | $1,445.44 | $3,388.44 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $426.58 Median $676.08 Typical High $1,621.81 | Facility | 26 · Professional part | $426.58 | $676.08 | $1,621.81 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $758.58 Typical High $1,778.28 | Facility | TC · Technical part | $478.63 | $758.58 | $1,778.28 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,318.26 | Professional | None (both parts) | $660.69 | $660.69 | $1,318.26 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | 26 · Professional part | $309.03 | $309.03 | $616.60 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $346.74 | $346.74 | $691.83 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $1,513.56 | Facility | None | $407.38 | $776.25 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $758.58 Typical High $3,162.28 | Professional | None (both parts) | $436.52 | $758.58 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $380.19 Typical High $1,584.89 | Professional | 26 · Professional part | $239.88 | $380.19 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $1,348.96 | Professional | TC · Technical part | $239.88 | $380.19 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,380.38 | $1,513.56 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $741.31 Typical High $1,288.25 | Professional | None (both parts) | $436.52 | $741.31 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $371.54 Typical High $645.65 | Professional | 26 · Professional part | $229.09 | $371.54 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $371.54 | $676.08 |
6 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 $218.78 Median $218.78 Typical High $218.78 | Facility | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | 52 · Reduced service | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | 53 · Discontinued | $87.10 | $87.10 | $128.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $724.44 Typical High $1,096.48 | Professional | 54 · Surgery only | $562.34 | $724.44 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $181.97 Typical High $275.42 | Professional | 55 · Aftercare only | $141.25 | $181.97 | $275.42 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 5th of 51
$851
AK $1,698FL $302
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.