How much rates vary
Facilitymedian $2,692 · 10th to 90th $302 to $7,943Professionalmedian $1,202 · 10th to 90th $589 to $6,310
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | TC · Technical part | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $537.03 | $537.03 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | 26 · Professional part | $389.05 | $389.05 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | TC · Technical part | $141.25 | $141.25 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,019.95 Median $14,791.08 Typical High $21,379.62 | Facility | None | $3,019.95 | $14,791.08 | $21,379.62 |
BCBS Minnesota 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 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $812.83 Typical High $1,318.26 | Professional | 26 · Professional part | $616.60 | $812.83 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $741.31 Typical High $1,202.26 | Professional | TC · Technical part | $724.44 | $741.31 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,162.28 | $4,897.79 | $9,332.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | 26 · Professional part | $588.84 | $912.01 | $1,737.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Facility | TC · Technical part | $2,570.40 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $5,370.32 Typical High $8,128.31 | Professional | None (both parts) | $3,388.44 | $5,370.32 | $8,128.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $1,000.00 Typical High $1,513.56 | Professional | 26 · Professional part | $676.08 | $1,000.00 | $1,513.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $4,365.16 Typical High $6,606.93 | Professional | TC · Technical part | $2,754.23 | $4,365.16 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $7,943.28 | Facility | None | $2,818.38 | $4,570.88 | $7,943.28 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $524.81 Median $851.14 Typical High $1,479.11 | Facility | 26 · Professional part | $524.81 | $851.14 | $1,479.11 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $2,290.87 Median $3,715.35 Typical High $6,456.54 | Facility | TC · Technical part | $2,290.87 | $3,715.35 | $6,456.54 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $4,786.30 Typical High $7,413.10 | Professional | None (both parts) | $3,162.28 | $4,786.30 | $7,413.10 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $891.25 Typical High $1,380.38 | Professional | 26 · Professional part | $588.84 | $891.25 | $1,380.38 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $3,890.45 Typical High $6,025.60 | Professional | TC · Technical part | $2,570.40 | $3,890.45 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $549.54 Typical High $3,388.44 | Facility | None | $125.89 | $549.54 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $2,511.89 Typical High $6,025.60 | Professional | None (both parts) | $1,047.13 | $2,511.89 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $758.58 Typical High $1,380.38 | Professional | 26 · Professional part | $489.78 | $758.58 | $1,380.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,862.09 Typical High $4,786.30 | Professional | TC · Technical part | $457.09 | $1,862.09 | $4,786.30 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $2,187.76 Typical High $5,370.32 | Professional | None (both parts) | $812.83 | $2,187.76 | $5,370.32 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $776.25 Typical High $1,412.54 | Professional | 26 · Professional part | $446.68 | $776.25 | $1,412.54 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $1,000.00 Typical High $4,265.80 | Professional | TC · Technical part | $346.74 | $1,000.00 | $4,265.80 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $489.78 | Professional | 54 · Surgery only | $398.11 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $66.07 |
Where Minnesota sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 6th of 51
$1,349
NE $2,818MD $501
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.