How much rates vary
Facilitymedian $4,169 · 10th to 90th $933 to $8,128Professionalmedian $1,820 · 10th to 90th $1,000 to $3,162
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 $933.25 Median $4,786.30 Typical High $8,128.31 | Facility | None | $933.25 | $4,786.30 | $8,128.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | TC · Technical part | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $933.25 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | 26 · Professional part | $131.83 | $131.83 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $794.33 Typical High $870.96 | Professional | TC · Technical part | $776.25 | $794.33 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $15,488.17 | Facility | None | $4,265.80 | $7,943.28 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,819.70 Typical High $2,884.03 | Professional | None (both parts) | $1,258.93 | $1,819.70 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $186.21 | $275.42 | $446.68 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,548.82 Typical High $2,398.83 | Professional | TC · Technical part | $1,071.52 | $1,548.82 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,168.69 | Facility | None | $1,380.38 | $2,137.96 | $4,168.69 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $309.03 Typical High $588.84 | Facility | 26 · Professional part | $199.53 | $309.03 | $588.84 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Facility | TC · Technical part | $1,202.26 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,344.23 Typical High $3,548.13 | Professional | None (both parts) | $1,621.81 | $2,344.23 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $512.86 | Professional | 26 · Professional part | $234.42 | $338.84 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,995.26 Typical High $3,019.95 | Professional | TC · Technical part | $1,380.38 | $1,995.26 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,995.26 | $3,467.37 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $288.40 Typical High $501.19 | Facility | 26 · Professional part | $177.83 | $288.40 | $501.19 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | TC · Technical part | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,089.30 Typical High $3,235.94 | Professional | None (both parts) | $1,412.54 | $2,089.30 | $3,235.94 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $302.00 Typical High $467.74 | Professional | 26 · Professional part | $199.53 | $302.00 | $467.74 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,778.28 Typical High $2,818.38 | Professional | TC · Technical part | $1,202.26 | $1,778.28 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $4,073.80 Typical High $8,317.64 | Facility | None | $1,659.59 | $4,073.80 | $8,317.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,621.81 Typical High $3,162.28 | Professional | None (both parts) | $954.99 | $1,621.81 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $251.19 Typical High $467.74 | Professional | 26 · Professional part | $162.18 | $251.19 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,380.38 Typical High $2,691.53 | Professional | TC · Technical part | $794.33 | $1,380.38 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,621.81 Typical High $3,090.30 | Professional | None (both parts) | $933.25 | $1,621.81 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $257.04 Typical High $478.63 | Professional | 26 · Professional part | $147.91 | $257.04 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,380.38 Typical High $2,630.27 | Professional | TC · Technical part | $794.33 | $1,380.38 | $2,630.27 |
2 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 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $794.33 | Professional | 54 · Surgery only | $691.83 | $691.83 | $794.33 |
Where Minnesota sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 8th of 51
$2,089
WI $3,467NY $813
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.