How much rates vary
Facilitymedian $479 · 10th to 90th $93 to $3,631Professionalmedian $871 · 10th to 90th $186 to $1,445
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 $186.21 Median $616.60 Typical High $954.99 | Professional | None | $186.21 | $616.60 | $954.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $1,000.00 | Professional | None | $190.55 | $190.55 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,691.53 | Facility | None | $380.19 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $758.58 Typical High $1,122.02 | Professional | None | $162.18 | $758.58 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $371.54 Typical High $1,380.38 | Facility | None | $54.95 | $371.54 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $4,265.80 | Professional | None | $794.33 | $1,071.52 | $4,265.80 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $158.49 Median $549.54 Typical High $1,071.52 | Professional | None | $158.49 | $549.54 | $1,071.52 |
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 $93.33 Median $275.42 Typical High $467.74 | Professional | 52 · Reduced service | $93.33 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $109.65 Typical High $190.55 | Professional | 53 · Discontinued | $37.15 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $407.38 Typical High $707.95 | Professional | 54 · Surgery only | $141.25 | $407.38 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $83.18 Typical High $141.25 | Professional | 55 · Aftercare only | $28.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $54.95 Typical High $95.50 | Professional | 56 · Pre-op care only | $18.62 | $54.95 | $95.50 |
Where Kansas sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.