How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,202 to $15,136Professionalmedian $2,344 · 10th to 90th $1,380 to $4,169
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 $1,202.26 Median $8,128.31 Typical High $15,135.61 | Facility | None | $1,202.26 | $8,128.31 | $15,135.61 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | TC · Technical part | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,995.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,995.26 |
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 $891.25 Median $891.25 Typical High $1,000.00 | Professional | TC · Technical part | $891.25 | $891.25 | $1,000.00 |
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 $2,290.87 Typical High $3,715.35 | Professional | None (both parts) | $1,621.81 | $2,290.87 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $645.65 Typical High $1,047.13 | Professional | 26 · Professional part | $446.68 | $645.65 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,698.24 Typical High $2,691.53 | Professional | TC · Technical part | $1,174.90 | $1,698.24 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,819.70 | $2,818.38 | $5,370.32 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Facility | 26 · Professional part | $467.74 | $724.44 | $1,380.38 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,318.26 Median $2,041.74 Typical High $3,981.07 | Facility | TC · Technical part | $1,318.26 | $2,041.74 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $4,570.88 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $794.33 Typical High $1,202.26 | Professional | 26 · Professional part | $549.54 | $794.33 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,238.72 Typical High $3,388.44 | Professional | TC · Technical part | $1,548.82 | $2,238.72 | $3,388.44 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $416.87 Median $676.08 Typical High $1,174.90 | Facility | 26 · Professional part | $416.87 | $676.08 | $1,174.90 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,905.46 Typical High $3,311.31 | Facility | TC · Technical part | $1,174.90 | $1,905.46 | $3,311.31 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,691.53 Typical High $4,168.69 | Professional | None (both parts) | $1,819.70 | $2,691.53 | $4,168.69 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $707.95 Typical High $1,096.48 | Professional | 26 · Professional part | $467.74 | $707.95 | $1,096.48 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,995.26 Typical High $3,090.30 | Professional | TC · Technical part | $1,348.96 | $1,995.26 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $9,772.37 | Facility | None | $2,089.30 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,187.76 Typical High $4,265.80 | Professional | None (both parts) | $1,380.38 | $2,187.76 | $4,265.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $602.56 Typical High $1,096.48 | Professional | 26 · Professional part | $389.05 | $602.56 | $1,096.48 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,584.89 Typical High $3,162.28 | Professional | TC · Technical part | $1,000.00 | $1,584.89 | $3,162.28 |
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 $2,187.76 Typical High $4,265.80 | Professional | None (both parts) | $1,288.25 | $2,187.76 | $4,265.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $602.56 Typical High $1,122.02 | Professional | 26 · Professional part | $354.81 | $602.56 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,584.89 Typical High $3,090.30 | Professional | TC · Technical part | $933.25 | $1,584.89 | $3,090.30 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,023.29 |
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.