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 $1,202.26 Median $1,202.26 Typical High $9,772.37 | Facility | None | $1,202.26 | $1,202.26 | $9,772.37 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | TC · Technical part | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $478.63 | Professional | 26 · Professional part | $338.84 | $338.84 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | TC · Technical part | $851.14 | $851.14 | $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 $1,584.89 Median $2,344.23 Typical High $3,715.35 | Professional | None (both parts) | $1,584.89 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $691.83 Typical High $1,122.02 | Professional | 26 · Professional part | $478.63 | $691.83 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,659.59 Typical High $2,570.40 | Professional | TC · Technical part | $1,122.02 | $1,659.59 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,370.32 | Facility | None | $1,778.28 | $2,754.23 | $5,370.32 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $501.19 Median $776.25 Typical High $1,513.56 | Facility | 26 · Professional part | $501.19 | $776.25 | $1,513.56 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Facility | TC · Technical part | $1,288.25 | $1,995.26 | $3,801.89 |
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 $588.84 Median $851.14 Typical High $1,288.25 | Professional | 26 · Professional part | $588.84 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,187.76 Typical High $3,311.31 | Professional | TC · Technical part | $1,479.11 | $2,187.76 | $3,311.31 |
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 $446.68 Median $724.44 Typical High $1,258.93 | Facility | 26 · Professional part | $446.68 | $724.44 | $1,258.93 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | TC · Technical part | $1,148.15 | $1,862.09 | $3,235.94 |
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 $512.86 Median $758.58 Typical High $1,174.90 | Professional | 26 · Professional part | $512.86 | $758.58 | $1,174.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,949.84 Typical High $3,019.95 | Professional | TC · Technical part | $1,288.25 | $1,949.84 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $10,232.93 | Facility | None | $2,041.74 | $3,890.45 | $10,232.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Professional | None (both parts) | $1,445.44 | $2,238.72 | $4,265.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $645.65 Typical High $1,174.90 | Professional | 26 · Professional part | $416.87 | $645.65 | $1,174.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,584.89 Typical High $3,090.30 | Professional | TC · Technical part | $1,047.13 | $1,584.89 | $3,090.30 |
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 $380.19 Median $645.65 Typical High $1,202.26 | Professional | 26 · Professional part | $380.19 | $645.65 | $1,202.26 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,584.89 Typical High $3,019.95 | Professional | TC · Technical part | $912.01 | $1,584.89 | $3,019.95 |
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 3.8 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
$2,630
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.