How much rates vary
Facilitymedian $324 · 10th to 90th $145 to $724Professionalmedian $309 · 10th to 90th $151 to $447
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | TC · Technical part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $1,122.02 | Facility | None | $208.93 | $489.78 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $199.53 | $295.12 | $389.05 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $81.28 | $112.20 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $213.80 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $1,288.25 | Facility | None | $302.00 | $457.09 | $1,288.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $363.08 | Facility | 26 · Professional part | $85.11 | $128.82 | $363.08 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $933.25 | Facility | TC · Technical part | $218.78 | $331.13 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $234.42 | $389.05 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $109.65 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $275.42 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $275.42 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,023.29 | Facility | None | $275.42 | $436.52 | $1,023.29 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $123.03 Typical High $288.40 | Facility | 26 · Professional part | $77.62 | $123.03 | $288.40 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $741.31 | Facility | TC · Technical part | $194.98 | $309.03 | $741.31 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $199.53 | $380.19 | $416.87 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $107.15 | $117.49 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $275.42 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $275.42 | $302.00 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $478.63 | Facility | None | $181.97 | $275.42 | $478.63 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $346.74 Typical High $1,778.28 | Professional | None (both parts) | $169.82 | $346.74 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $89.13 Typical High $1,202.26 | Professional | 26 · Professional part | $41.69 | $89.13 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $257.04 Typical High $1,548.82 | Professional | TC · Technical part | $125.89 | $257.04 | $1,548.82 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $158.49 | $302.00 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $40.74 | $75.86 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $234.42 | $363.08 |
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 $72.44 Median $72.44 Typical High $72.44 | Facility | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Where Minnesota sits
The same service costs 3.2 times more in Kansas than in Utah. 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· 2nd of 51
$309
KS $324UT $100
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.