How much rates vary
Facilitymedian $5,888 · 10th to 90th $955 to $12,589Professionalmedian $5,495 · 10th to 90th $589 to $10,233
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 $4,677.35 Typical High $9,332.54 | Facility | None | $1,698.24 | $4,677.35 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $4,265.80 Typical High $7,244.36 | Professional | None | $537.03 | $4,265.80 | $7,244.36 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $6,309.57 | Professional | None | $645.65 | $645.65 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,120.11 Typical High $10,232.93 | Facility | None | $707.95 | $9,120.11 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $5,011.87 Typical High $8,128.31 | Professional | None | $489.78 | $5,011.87 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $4,168.69 Typical High $12,882.50 | Facility | None | $54.95 | $4,168.69 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $5,370.32 Median $7,413.10 Typical High $33,113.11 | Professional | None | $5,370.32 | $7,413.10 | $33,113.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,025.60 Typical High $13,803.84 | Facility | None | $1,122.02 | $6,025.60 | $13,803.84 |
United Setting Professional Modifier None Typical Low $562.34 Median $4,265.80 Typical High $7,585.78 | Professional | None | $562.34 | $4,265.80 | $7,585.78 |
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 $269.15 Median $2,137.96 Typical High $3,630.78 | Professional | 52 · Reduced service | $269.15 | $2,137.96 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $851.14 Typical High $1,445.44 | Professional | 53 · Discontinued | $109.65 | $851.14 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $3,162.28 Typical High $5,495.41 | Professional | 54 · Surgery only | $407.38 | $3,162.28 | $5,495.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $630.96 Typical High $1,096.48 | Professional | 55 · Aftercare only | $81.28 | $630.96 | $1,096.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $426.58 Typical High $724.44 | Professional | 56 · Pre-op care only | $53.70 | $426.58 | $724.44 |
Where Kansas sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.