How much rates vary
Facilitymedian $1,259 · 10th to 90th $575 to $4,898Professionalmedian $1,096 · 10th to 90th $646 to $1,862
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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | TC · Technical part | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | None (both parts) | $575.44 | $575.44 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $467.74 | Professional | 26 · Professional part | $309.03 | $309.03 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | TC · Technical part | $263.03 | $263.03 | $288.40 |
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 $912.01 Median $1,202.26 Typical High $1,819.70 | Professional | None (both parts) | $912.01 | $1,202.26 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $645.65 Typical High $1,000.00 | Professional | 26 · Professional part | $501.19 | $645.65 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,000.00 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $776.25 | $1,000.00 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $575.44 Typical High $870.96 | Professional | TC · Technical part | $426.58 | $575.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $5,623.41 | Facility | None | $1,318.26 | $1,995.26 | $5,623.41 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $707.95 Median $1,071.52 Typical High $3,019.95 | Facility | 26 · Professional part | $707.95 | $1,071.52 | $3,019.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $2,630.27 | Facility | TC · Technical part | $616.60 | $933.25 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,096.48 Typical High $1,905.46 | Professional | None (both parts) | $794.33 | $1,096.48 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $588.84 Typical High $1,047.13 | Professional | 26 · Professional part | $457.09 | $588.84 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $891.25 | Professional | TC · Technical part | $331.13 | $501.19 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $4,466.84 | Facility | None | $1,202.26 | $1,905.46 | $4,466.84 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $645.65 Median $1,023.29 Typical High $2,398.83 | Facility | 26 · Professional part | $645.65 | $1,023.29 | $2,398.83 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $870.96 Typical High $2,089.30 | Facility | TC · Technical part | $549.54 | $870.96 | $2,089.30 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,737.80 | Professional | None (both parts) | $851.14 | $851.14 | $1,737.80 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $933.25 | Professional | 26 · Professional part | $457.09 | $457.09 | $933.25 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $398.11 | $398.11 | $794.33 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,513.56 | Facility | None | $602.56 | $1,000.00 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,000.00 Typical High $3,388.44 | Professional | None (both parts) | $630.96 | $1,000.00 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $575.44 Typical High $2,344.23 | Professional | 26 · Professional part | $363.08 | $575.44 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $436.52 | $1,862.09 |
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 $602.56 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $602.56 | $977.24 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $562.34 Typical High $977.24 | Professional | 26 · Professional part | $346.74 | $562.34 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $426.58 | $776.25 |
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 $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $169.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $954.99 Typical High $1,445.44 | Professional | 54 · Surgery only | $741.31 | $954.99 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $239.88 Typical High $363.08 | Professional | 55 · Aftercare only | $181.97 | $239.88 | $363.08 |
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
$1,096
AK $2,239FL $398
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.