How much rates vary
Facilitymedian $4,365 · 10th to 90th $912 to $11,220Professionalmedian $617 · 10th to 90th $372 to $1,148
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 $7,244.36 Median $10,964.78 Typical High $16,595.87 | Facility | None | $7,244.36 | $10,964.78 | $16,595.87 |
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 Professional Modifier None (both parts) Typical Low $2,818.38 Median $9,332.54 Typical High $22,387.21 | Professional | None (both parts) | $2,818.38 | $9,332.54 | $22,387.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 26 · Professional part | $316.23 | $316.23 | $331.13 |
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 $426.58 Median $616.60 Typical High $1,000.00 | Professional | 26 · Professional part | $426.58 | $616.60 | $1,000.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $478.63 Median $741.31 Typical High $1,412.54 | Facility | 26 · Professional part | $478.63 | $741.31 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
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 |
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 Professional Modifier 26 · Professional part Typical Low $478.63 Median $707.95 Typical High $1,096.48 | Professional | 26 · Professional part | $478.63 | $707.95 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $616.60 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $616.60 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $616.60 Typical High $1,122.02 | Professional | 26 · Professional part | $398.11 | $616.60 | $1,122.02 |
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 $338.84 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $602.56 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $602.56 Typical High $1,122.02 | Professional | 26 · Professional part | $338.84 | $602.56 | $1,122.02 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 52 · Reduced service | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $36.31 |
Where Minnesota sits
The same service costs 23.4 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· 24th of 51
$1,122
CO $6,761KY $288
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.