How much rates vary
Facilitymedian $2,692 · 10th to 90th $224 to $9,550Professionalmedian $316 · 10th to 90th $145 to $95,499
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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $426.58 | Professional | None | $223.87 | $275.42 | $426.58 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,949.84 Typical High $11,220.18 | Facility | None | $54.95 | $1,949.84 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $95,499.26 | Professional | None | $138.04 | $239.88 | $95,499.26 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $446.68 | Professional | None | $138.04 | $239.88 | $446.68 |
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 $112.20 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $112.20 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $44.67 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $204.17 Typical High $323.59 | Professional | 54 · Surgery only | $169.82 | $204.17 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $40.74 Typical High $64.57 | Professional | 55 · Aftercare only | $33.88 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $27.54 Typical High $42.66 | Professional | 56 · Pre-op care only | $22.39 | $27.54 | $42.66 |
Where Kansas sits
The same service costs 88.6 times more in Wyoming 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
WY $59,374MT $670
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.