How much rates vary
Facilitymedian $2,692 · 10th to 90th $501 to $3,548Professionalmedian $174 · 10th to 90th $81 to $617
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 $302.00 Median $2,754.23 Typical High $7,943.28 | Facility | None | $302.00 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $158.49 Typical High $302.00 | Professional | None | $69.18 | $158.49 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $3,388.44 Typical High $3,548.13 | Facility | None | $1,445.44 | $3,388.44 | $3,548.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $251.19 | Professional | None | $117.49 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $1,737.80 | Facility | None | $691.83 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $295.12 | Professional | None | $83.18 | $181.97 | $295.12 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $812.83 Typical High $3,801.89 | Facility | None | $54.95 | $812.83 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $1,318.26 | Professional | None | $169.82 | $363.08 | $1,318.26 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $263.03 | Professional | None | $79.43 | $169.82 | $263.03 |
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 $34.67 Median $74.13 Typical High $151.36 | Professional | 52 · Reduced service | $34.67 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $29.51 Typical High $60.26 | Professional | 53 · Discontinued | $14.13 | $29.51 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $112.20 Typical High $229.09 | Professional | 54 · Surgery only | $52.48 | $112.20 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $22.39 Typical High $45.71 | Professional | 55 · Aftercare only | $10.47 | $22.39 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $14.79 Typical High $30.20 | Professional | 56 · Pre-op care only | $7.08 | $14.79 | $30.20 |
Where Kansas sits
The same service costs 9.7 times more in Colorado 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
CO $4,351MT $447
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.