How much rates vary
Facilitymedian $912 · 10th to 90th $151 to $5,623Professionalmedian $380 · 10th to 90th $275 to $525
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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | None | $295.12 | $389.05 | $389.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $436.52 | Professional | None | $263.03 | $338.84 | $436.52 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $602.56 Typical High $4,466.84 | Facility | None | $54.95 | $602.56 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $1,659.59 | Professional | None | $269.15 | $371.54 | $1,659.59 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $512.86 | Professional | None | $257.04 | $371.54 | $512.86 |
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 $147.91 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $58.88 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $218.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $43.65 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $29.51 | $38.90 | $38.90 |
Where Kansas sits
The same service costs 7.3 times more in Alaska 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
AK $5,199MT $710
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.