How much rates vary
Facilitymedian $363 · 10th to 90th $141 to $1,445Professionalmedian $269 · 10th to 90th $141 to $331
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $45.71 | $48.98 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $1,318.26 | Facility | None | $398.11 | $676.08 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $245.47 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | None | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $630.96 | Facility | 26 · Professional part | $144.54 | $218.78 | $630.96 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $389.05 | Facility | TC · Technical part | $91.20 | $138.04 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $181.97 | $302.00 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $186.21 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $186.21 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $117.49 | $128.82 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $794.33 | Facility | None | $213.80 | $338.84 | $794.33 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $208.93 Typical High $489.78 | Facility | 26 · Professional part | $131.83 | $208.93 | $489.78 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $309.03 | Facility | TC · Technical part | $83.18 | $131.83 | $309.03 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $154.88 | $295.12 | $316.23 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $181.97 | $194.98 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $114.82 | $123.03 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $724.44 Typical High $2,691.53 | Facility | None | $151.36 | $724.44 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $223.87 Typical High $630.96 | Professional | None (both parts) | $104.71 | $223.87 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $138.04 Typical High $407.38 | Professional | 26 · Professional part | $64.57 | $138.04 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $87.10 Typical High $218.78 | Professional | TC · Technical part | $39.81 | $87.10 | $218.78 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,778.28 Typical High $2,951.21 | Facility | None | $776.25 | $1,778.28 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $102.33 | $194.98 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $38.02 | $75.86 | $128.82 |
4 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 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $13.18 | $14.13 | $14.13 |
Where Minnesota sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 1st of 51
$275
MN $275AL $63.10
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.