How much rates vary
Facilitymedian $1,862 · 10th to 90th $933 to $4,786Professionalmedian $1,288 · 10th to 90th $309 to $3,802
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | TC · Technical part | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,000.00 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $213.80 Typical High $218.78 | Professional | 26 · Professional part | $204.17 | $213.80 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $794.33 | $870.96 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $562.34 Median $1,659.59 Typical High $3,890.45 | Facility | None | $562.34 | $1,659.59 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $295.12 | $380.19 | $616.60 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $389.05 Typical High $549.54 | Professional | 26 · Professional part | $263.03 | $389.05 | $549.54 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $575.44 | Professional | TC · Technical part | $295.12 | $389.05 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $10,964.78 | Facility | None | $2,570.40 | $3,801.89 | $10,964.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $676.08 Typical High $1,905.46 | Facility | 26 · Professional part | $446.68 | $676.08 | $1,905.46 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,089.30 Median $3,162.28 Typical High $8,912.51 | Facility | TC · Technical part | $2,089.30 | $3,162.28 | $8,912.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,454.71 Typical High $3,890.45 | Professional | None (both parts) | $1,819.70 | $2,454.71 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $436.52 Typical High $691.83 | Professional | 26 · Professional part | $331.13 | $436.52 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $2,041.74 Typical High $3,162.28 | Professional | TC · Technical part | $1,513.56 | $2,041.74 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $8,511.38 | Facility | None | $2,290.87 | $3,630.78 | $8,511.38 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $645.65 Typical High $1,513.56 | Facility | 26 · Professional part | $407.38 | $645.65 | $1,513.56 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $3,019.95 Typical High $7,079.46 | Facility | TC · Technical part | $1,862.09 | $3,019.95 | $7,079.46 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,949.84 Typical High $3,630.78 | Professional | None (both parts) | $1,819.70 | $1,949.84 | $3,630.78 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $346.74 Typical High $645.65 | Professional | 26 · Professional part | $323.59 | $346.74 | $645.65 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,584.89 Typical High $2,951.21 | Professional | TC · Technical part | $1,513.56 | $1,584.89 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,630.27 | Facility | None | $1,513.56 | $1,949.84 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $3,467.37 Typical High $6,606.93 | Professional | None (both parts) | $1,412.54 | $3,467.37 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $524.81 Typical High $1,737.80 | Professional | 26 · Professional part | $239.88 | $524.81 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $3,019.95 Typical High $5,248.07 | Professional | TC · Technical part | $1,122.02 | $3,019.95 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,344.23 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,570.40 Typical High $5,495.41 | Professional | None (both parts) | $1,348.96 | $2,570.40 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $407.38 Typical High $758.58 | Professional | 26 · Professional part | $223.87 | $407.38 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $2,041.74 Typical High $4,786.30 | Professional | TC · Technical part | $1,071.52 | $2,041.74 | $4,786.30 |
8 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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $109.65 |
Where Minnesota sits
The same service costs 11.2 times more in Alaska 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· 18th of 51
$1,349
AK $3,020KY $269
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.