How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,175 to $21,380Professionalmedian $7,762 · 10th to 90th $646 to $9,772
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 $2,951.21 Median $7,244.36 Typical High $10,964.78 | Facility | None | $2,951.21 | $7,244.36 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $4,897.79 Typical High $8,511.38 | Professional | None | $645.65 | $4,897.79 | $8,511.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $9,332.54 | Professional | None | $741.31 | $741.31 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $16,218.10 Typical High $22,387.21 | Facility | None | $707.95 | $16,218.10 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $6,760.83 Typical High $10,471.29 | Professional | None | $562.34 | $6,760.83 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $5,754.40 Typical High $25,118.86 | Facility | None | $54.95 | $5,754.40 | $25,118.86 |
Medica Setting Professional Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $19,498.45 | Professional | None | $6,918.31 | $9,549.93 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $7,943.28 Typical High $26,915.35 | Facility | None | $1,348.96 | $7,943.28 | $26,915.35 |
United Setting Professional Modifier None Typical Low $630.96 Median $5,011.87 Typical High $9,772.37 | Professional | None | $630.96 | $5,011.87 | $9,772.37 |
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 $323.59 Median $2,454.71 Typical High $4,265.80 | Professional | 52 · Reduced service | $323.59 | $2,454.71 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $1,000.00 Typical High $1,698.24 | Professional | 53 · Discontinued | $128.82 | $1,000.00 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $3,715.35 Typical High $6,309.57 | Professional | 54 · Surgery only | $489.78 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $741.31 Typical High $1,258.93 | Professional | 55 · Aftercare only | $97.72 | $741.31 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $489.78 Typical High $851.14 | Professional | 56 · Pre-op care only | $64.57 | $489.78 | $851.14 |
Where Kansas sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.