How much rates vary
Facilitymedian $1,148 · 10th to 90th $912 to $5,495Professionalmedian $646 · 10th to 90th $363 to $3,311
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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | None | $346.74 | $426.58 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,047.13 | $1,122.02 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $602.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $912.01 Typical High $912.01 | Professional | None | $380.19 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,737.80 Typical High $26,302.68 | Facility | None | $812.83 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $3,311.31 | Professional | None | $407.38 | $741.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $794.33 | Professional | None | $354.81 | $416.87 | $794.33 |
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 $169.82 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $257.04 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $79.43 | Professional | 55 · Aftercare only | $51.29 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $34.67 | $42.66 | $52.48 |
Where Kansas sits
The same service costs 6.1 times more in Oklahoma than in Montana. 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
OK $6,602MT $1,074
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.