How much rates vary
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | TC · Technical part | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $954.99 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | 26 · Professional part | $239.88 | $239.88 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | TC · Technical part | $724.44 | $724.44 | $812.83 |
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 $1,288.25 Median $1,862.09 Typical High $3,019.95 | Professional | None (both parts) | $1,288.25 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $489.78 Typical High $794.33 | Professional | 26 · Professional part | $338.84 | $489.78 | $794.33 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,380.38 Typical High $2,187.76 | Professional | TC · Technical part | $954.99 | $1,380.38 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,238.72 | $4,265.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $354.81 Median $549.54 Typical High $1,071.52 | Facility | 26 · Professional part | $354.81 | $549.54 | $1,071.52 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,659.59 Typical High $3,235.94 | Facility | TC · Technical part | $1,071.52 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,454.71 Typical High $3,715.35 | Professional | None (both parts) | $1,659.59 | $2,454.71 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $602.56 Typical High $912.01 | Professional | 26 · Professional part | $416.87 | $602.56 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,819.70 Typical High $2,754.23 | Professional | TC · Technical part | $1,258.93 | $1,819.70 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,041.74 | $3,630.78 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $316.23 Median $512.86 Typical High $891.25 | Facility | 26 · Professional part | $316.23 | $512.86 | $891.25 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $954.99 Median $1,548.82 Typical High $2,691.53 | Facility | TC · Technical part | $954.99 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,187.76 Typical High $3,388.44 | Professional | None (both parts) | $1,445.44 | $2,187.76 | $3,388.44 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $537.03 Typical High $831.76 | Professional | 26 · Professional part | $363.08 | $537.03 | $831.76 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,621.81 Typical High $2,511.89 | Professional | TC · Technical part | $1,096.48 | $1,621.81 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,513.56 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,737.80 Typical High $3,388.44 | Professional | None (both parts) | $1,071.52 | $1,737.80 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $831.76 | Professional | 26 · Professional part | $295.12 | $457.09 | $831.76 |
Medica Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,258.93 Typical High $2,511.89 | Professional | TC · Technical part | $776.25 | $1,258.93 | $2,511.89 |
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 $1,000.00 Median $1,737.80 Typical High $3,311.31 | Professional | None (both parts) | $1,000.00 | $1,737.80 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $457.09 Typical High $851.14 | Professional | 26 · Professional part | $269.15 | $457.09 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,258.93 Typical High $2,454.71 | Professional | TC · Technical part | $741.31 | $1,258.93 | $2,454.71 |
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 $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $724.44 | $724.44 | $831.76 |
Where Minnesota sits
The same service costs 4.2 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· 10th of 51
$1,995
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.