How much rates vary
Facilitymedian $8,128 · 10th to 90th $2,089 to $12,023Professionalmedian $2,188 · 10th to 90th $1,230 to $3,890
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 $5,888.44 Median $8,317.64 Typical High $12,022.64 | Facility | None | $5,888.44 | $8,317.64 | $12,022.64 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | TC · Technical part | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,122.02 Typical High $1,659.59 | Professional | None (both parts) | $1,071.52 | $1,122.02 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $295.12 | $295.12 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $933.25 | Professional | TC · Technical part | $812.83 | $812.83 | $933.25 |
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 $1,479.11 Median $2,137.96 Typical High $3,467.37 | Professional | None (both parts) | $1,479.11 | $2,137.96 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $616.60 Typical High $1,000.00 | Professional | 26 · Professional part | $426.58 | $616.60 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,548.82 Typical High $2,454.71 | Professional | TC · Technical part | $1,071.52 | $1,548.82 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $691.83 Typical High $1,318.26 | Facility | 26 · Professional part | $446.68 | $691.83 | $1,318.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | TC · Technical part | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,818.38 Typical High $4,365.16 | Professional | None (both parts) | $1,949.84 | $2,818.38 | $4,365.16 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $758.58 Typical High $1,148.15 | Professional | 26 · Professional part | $512.86 | $758.58 | $1,148.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,041.74 Typical High $3,090.30 | Professional | TC · Technical part | $1,412.54 | $2,041.74 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $398.11 Median $630.96 Typical High $1,122.02 | Facility | 26 · Professional part | $398.11 | $630.96 | $1,122.02 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,737.80 Typical High $3,019.95 | Facility | TC · Technical part | $1,096.48 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,691.53 Typical High $3,890.45 | Professional | None (both parts) | $1,659.59 | $2,691.53 | $3,890.45 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $676.08 Typical High $1,047.13 | Professional | 26 · Professional part | $446.68 | $676.08 | $1,047.13 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,862.09 Typical High $2,884.03 | Professional | TC · Technical part | $1,230.27 | $1,862.09 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $4,168.69 Typical High $10,000.00 | Facility | None | $1,995.26 | $4,168.69 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,041.74 Typical High $3,981.07 | Professional | None (both parts) | $1,318.26 | $2,041.74 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $575.44 Typical High $1,047.13 | Professional | 26 · Professional part | $371.54 | $575.44 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,445.44 Typical High $2,884.03 | Professional | TC · Technical part | $933.25 | $1,445.44 | $2,884.03 |
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 $1,174.90 Median $2,041.74 Typical High $3,890.45 | Professional | None (both parts) | $1,174.90 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $575.44 Typical High $1,071.52 | Professional | 26 · Professional part | $331.13 | $575.44 | $1,071.52 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,445.44 Typical High $2,818.38 | Professional | TC · Technical part | $851.14 | $1,445.44 | $2,818.38 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $831.76 | $831.76 | $954.99 |
Where Minnesota sits
The same service costs 3.9 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· 3rd of 51
$3,631
WI $4,169NY $1,072
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.