How much rates vary
Facilitymedian $7,413 · 10th to 90th $3,981 to $12,023Professionalmedian $389 · 10th to 90th $240 to $724
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $3,235.94 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $3,235.94 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $204.17 | $204.17 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $14,125.38 | Facility | None | $4,265.80 | $7,943.28 | $14,125.38 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $645.65 | Professional | 26 · Professional part | $275.42 | $398.11 | $645.65 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $309.03 Median $478.63 Typical High $912.01 | Facility | 26 · Professional part | $309.03 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $524.81 Typical High $794.33 | Professional | 26 · Professional part | $354.81 | $524.81 | $794.33 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $275.42 Median $436.52 Typical High $758.58 | Facility | 26 · Professional part | $275.42 | $436.52 | $758.58 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $467.74 Typical High $724.44 | Professional | 26 · Professional part | $309.03 | $467.74 | $724.44 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $5,011.87 Typical High $11,481.54 | Facility | None | $346.74 | $5,011.87 | $11,481.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $251.19 | $389.05 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $389.05 Typical High $724.44 | Professional | 26 · Professional part | $251.19 | $389.05 | $724.44 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,182.57 | Facility | None | $3,981.07 | $5,623.41 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $213.80 | $380.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $380.19 Typical High $707.95 | Professional | 26 · Professional part | $213.80 | $380.19 | $707.95 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 54 · Surgery only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 54 · Surgery only | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $23.99 |
Where Minnesota sits
The same service costs 28.8 times more in Colorado than in Kentucky. 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· 21st of 51
$1,862
CO $7,079KY $245
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.