How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,230 to $9,120Professionalmedian $2,399 · 10th to 90th $1,380 to $4,266
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 $1,230.27 Median $1,230.27 Typical High $9,120.11 | Facility | None | $1,230.27 | $1,230.27 | $9,120.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | TC · Technical part | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,041.74 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | 26 · Professional part | $316.23 | $316.23 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $912.01 | $912.01 | $1,023.29 |
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 $1,621.81 Median $2,398.83 Typical High $3,801.89 | Professional | None (both parts) | $1,621.81 | $2,398.83 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $660.69 Typical High $1,071.52 | Professional | 26 · Professional part | $457.09 | $660.69 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,737.80 Typical High $2,754.23 | Professional | TC · Technical part | $1,174.90 | $1,737.80 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $478.63 Median $741.31 Typical High $1,412.54 | Facility | 26 · Professional part | $478.63 | $741.31 | $1,412.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Facility | TC · Technical part | $1,348.96 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,090.30 Typical High $4,677.35 | Professional | None (both parts) | $2,137.96 | $3,090.30 | $4,677.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $812.83 Typical High $1,230.27 | Professional | 26 · Professional part | $549.54 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,290.87 Typical High $3,467.37 | Professional | TC · Technical part | $1,584.89 | $2,290.87 | $3,467.37 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | 26 · Professional part | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | TC · Technical part | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,754.23 Typical High $4,265.80 | Professional | None (both parts) | $1,862.09 | $2,754.23 | $4,265.80 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $724.44 Typical High $1,122.02 | Professional | 26 · Professional part | $478.63 | $724.44 | $1,122.02 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,041.74 Typical High $3,162.28 | Professional | TC · Technical part | $1,348.96 | $2,041.74 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,949.84 | $3,630.78 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,238.72 Typical High $4,365.16 | Professional | None (both parts) | $1,380.38 | $2,238.72 | $4,365.16 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $616.60 Typical High $1,122.02 | Professional | 26 · Professional part | $398.11 | $616.60 | $1,122.02 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,621.81 Typical High $3,235.94 | Professional | TC · Technical part | $1,000.00 | $1,621.81 | $3,235.94 |
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 $1,288.25 Median $2,238.72 Typical High $4,265.80 | Professional | None (both parts) | $1,288.25 | $2,238.72 | $4,265.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $616.60 Typical High $1,148.15 | Professional | 26 · Professional part | $354.81 | $616.60 | $1,148.15 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,621.81 Typical High $3,162.28 | Professional | TC · Technical part | $954.99 | $1,621.81 | $3,162.28 |
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 $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,047.13 |
Where Minnesota sits
The same service costs 4.0 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· 5th of 51
$2,692
WI $4,467NY $1,122
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.