How much rates vary
Facilitymedian $3,388 · 10th to 90th $955 to $10,965Professionalmedian $1,230 · 10th to 90th $851 to $13,183
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 $1,479.11 Median $3,162.28 Typical High $16,218.10 | Facility | None | $1,479.11 | $3,162.28 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,230.27 | Professional | None | $794.33 | $977.24 | $1,230.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,691.53 | Facility | None | $380.19 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,380.38 | Professional | None | $891.25 | $1,380.38 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $9,772.37 | Facility | None | $1,000.00 | $3,548.13 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $13,182.57 | Professional | None | $933.25 | $1,148.15 | $13,182.57 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,412.54 | Professional | None | $812.83 | $954.99 | $1,412.54 |
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 $398.11 Median $489.78 Typical High $602.56 | Professional | 52 · Reduced service | $398.11 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $194.98 Typical High $245.47 | Professional | 53 · Discontinued | $158.49 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $741.31 Typical High $912.01 | Professional | 54 · Surgery only | $602.56 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $147.91 Typical High $181.97 | Professional | 55 · Aftercare only | $120.23 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $123.03 |
Where Kansas sits
The same service costs 4.6 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.