How much rates vary
Facilitymedian $1,413 · 10th to 90th $661 to $7,943Professionalmedian $977 · 10th to 90th $537 to $1,479
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $2,398.83 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | 26 · Professional part | $354.81 | $354.81 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $7,585.78 Typical High $12,589.25 | Facility | None | $3,981.07 | $7,585.78 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $676.08 Typical High $1,096.48 | Professional | 26 · Professional part | $467.74 | $676.08 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | None | $588.84 | $912.01 | $1,737.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $524.81 Median $812.83 Typical High $1,548.82 | Facility | 26 · Professional part | $524.81 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $977.24 Typical High $1,513.56 | Professional | None (both parts) | $724.44 | $977.24 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $891.25 Typical High $1,348.96 | Professional | 26 · Professional part | $616.60 | $891.25 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,445.44 | Facility | None | $512.86 | $831.76 | $1,445.44 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $467.74 Median $758.58 Typical High $1,318.26 | Facility | 26 · Professional part | $467.74 | $758.58 | $1,318.26 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $588.84 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $588.84 | $870.96 | $1,348.96 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $794.33 Typical High $1,230.27 | Professional | 26 · Professional part | $524.81 | $794.33 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $7,943.28 | Facility | None | $977.24 | $3,715.35 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $707.95 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $676.08 Typical High $1,230.27 | Professional | 26 · Professional part | $436.52 | $676.08 | $1,230.27 |
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 $446.68 Median $831.76 Typical High $1,318.26 | Professional | None (both parts) | $446.68 | $831.76 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $660.69 Typical High $1,230.27 | Professional | 26 · Professional part | $371.54 | $660.69 | $1,230.27 |
12 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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 53 · Discontinued | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
Where Minnesota sits
The same service costs 14.5 times more in California than in Maine. 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· 41st of 51
$1,202
CA $8,128ME $562
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.