How much rates vary
Facilitymedian $776 · 10th to 90th $129 to $1,738Professionalmedian $174 · 10th to 90th $100 to $380
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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $229.09 | Professional | None | $81.28 | $147.91 | $229.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $776.25 Typical High $812.83 | Facility | None | $128.82 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | None | $173.78 | $173.78 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $151.36 | Facility | None | $104.71 | $138.04 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $389.05 | Professional | None | $102.33 | $173.78 | $389.05 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,380.38 | Facility | None | $54.95 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $1,479.11 | Professional | None | $173.78 | $281.84 | $1,479.11 |
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 $100.00 Median $173.78 Typical High $288.40 | Professional | None | $100.00 | $173.78 | $288.40 |
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 $40.74 Median $63.10 Typical High $114.82 | Professional | 52 · Reduced service | $40.74 | $63.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $45.71 | Professional | 53 · Discontinued | $16.22 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $93.33 Typical High $173.78 | Professional | 54 · Surgery only | $61.66 | $93.33 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $18.62 Typical High $34.67 | Professional | 55 · Aftercare only | $12.30 | $18.62 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.59 Typical High $22.91 | Professional | 56 · Pre-op care only | $8.13 | $12.59 | $22.91 |
Where Kansas sits
The same service costs 11.6 times more in Hawaii 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.
Physician feeFacility fee
HI $3,027MD $261
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.