How much rates vary
Facilitymedian $437 · 10th to 90th $72 to $1,380Professionalmedian $112 · 10th to 90th $63 to $234
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 $66.07 Median $151.36 Typical High $7,943.28 | Facility | None | $66.07 | $151.36 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $97.72 Typical High $151.36 | Professional | None | $51.29 | $97.72 | $151.36 |
BCBS Kansas Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $457.09 | Facility | None | $436.52 | $436.52 | $457.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | None | $97.72 | $97.72 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $72.44 | Facility | None | $66.07 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $234.42 | Professional | None | $60.26 | $109.65 | $234.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $245.47 Typical High $1,380.38 | Facility | None | $54.95 | $245.47 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $933.25 | Professional | None | $112.20 | $173.78 | $933.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $181.97 | Professional | None | $63.10 | $112.20 | $181.97 |
5 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 Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.90 Typical High $75.86 | Professional | 52 · Reduced service | $25.70 | $38.90 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.85 Typical High $30.20 | Professional | 53 · Discontinued | $10.23 | $15.85 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $58.88 Typical High $114.82 | Professional | 54 · Surgery only | $38.02 | $58.88 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $11.75 Typical High $22.91 | Professional | 55 · Aftercare only | $7.59 | $11.75 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.94 Typical High $15.14 | Professional | 56 · Pre-op care only | $5.13 | $7.94 | $15.14 |
Where Kansas sits
The same service costs 12.9 times more in Colorado 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.
Physician feeFacility fee
CO $2,408ME $187
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.