How much rates vary
Facilitymedian $1,995 · 10th to 90th $692 to $7,244Professionalmedian $1,380 · 10th to 90th $832 to $2,399
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 $691.83 Median $691.83 Typical High $5,011.87 | Facility | None | $691.83 | $691.83 | $5,011.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | TC · Technical part | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $691.83 | $691.83 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $229.09 | $229.09 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $616.60 | Professional | TC · Technical part | $457.09 | $457.09 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,760.83 Typical High $12,022.64 | Facility | None | $4,168.69 | $6,760.83 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,318.26 Typical High $2,137.96 | Professional | None (both parts) | $954.99 | $1,318.26 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $467.74 Typical High $776.25 | Professional | 26 · Professional part | $323.59 | $467.74 | $776.25 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $933.25 Typical High $1,380.38 | Professional | TC · Technical part | $630.96 | $933.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $3,090.30 | Facility | None | $1,023.29 | $1,584.89 | $3,090.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $346.74 Median $537.03 Typical High $1,023.29 | Facility | 26 · Professional part | $346.74 | $537.03 | $1,023.29 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | TC · Technical part | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $2,630.27 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $588.84 Typical High $891.25 | Professional | 26 · Professional part | $398.11 | $588.84 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,148.15 Typical High $1,737.80 | Professional | TC · Technical part | $794.33 | $1,148.15 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,570.40 | Facility | None | $912.01 | $1,479.11 | $2,570.40 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | 26 · Professional part | $309.03 | $501.19 | $870.96 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $977.24 Typical High $1,698.24 | Facility | TC · Technical part | $602.56 | $977.24 | $1,698.24 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,548.82 Typical High $2,398.83 | Professional | None (both parts) | $1,047.13 | $1,548.82 | $2,398.83 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $524.81 Typical High $812.83 | Professional | 26 · Professional part | $346.74 | $524.81 | $812.83 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,047.13 Typical High $1,621.81 | Professional | TC · Technical part | $691.83 | $1,047.13 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $6,760.83 | Facility | None | $1,096.48 | $2,754.23 | $6,760.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,380.38 Typical High $2,630.27 | Professional | None (both parts) | $831.76 | $1,380.38 | $2,630.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $426.58 Typical High $794.33 | Professional | 26 · Professional part | $275.42 | $426.58 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $977.24 Typical High $1,819.70 | Professional | TC · Technical part | $575.44 | $977.24 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,348.96 Typical High $2,570.40 | Professional | None (both parts) | $776.25 | $1,348.96 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $436.52 Typical High $812.83 | Professional | 26 · Professional part | $251.19 | $436.52 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $933.25 Typical High $1,778.28 | Professional | TC · Technical part | $501.19 | $933.25 | $1,778.28 |
10 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 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | 54 · Surgery only | $512.86 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $89.13 |
Where Minnesota sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 11th of 51
$1,479
WI $2,630TX $603
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.