How much rates vary
Facilitymedian $2,239 · 10th to 90th $537 to $3,715Professionalmedian $562 · 10th to 90th $219 to $1,862
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 $512.86 Median $3,162.28 Typical High $7,943.28 | Facility | None | $512.86 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $794.33 | Professional | None | $204.17 | $416.87 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $169.82 Typical High $524.81 | Professional | None | $75.86 | $169.82 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $2,344.23 | Facility | None | $1,071.52 | $2,238.72 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | None | $380.19 | $380.19 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,230.27 | Facility | None | $562.34 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $478.63 Typical High $691.83 | Professional | None | $213.80 | $478.63 | $691.83 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,000.00 Typical High $16,218.10 | Facility | None | $389.05 | $1,000.00 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $1,862.09 Typical High $3,630.78 | Professional | None | $371.54 | $1,862.09 | $3,630.78 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $602.56 | Professional | None | $229.09 | $323.59 | $602.56 |
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 $102.33 Median $194.98 Typical High $398.11 | Professional | 52 · Reduced service | $102.33 | $194.98 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $77.62 Typical High $158.49 | Professional | 53 · Discontinued | $40.74 | $77.62 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $295.12 Typical High $588.84 | Professional | 54 · Surgery only | $151.36 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $58.88 Typical High $117.49 | Professional | 55 · Aftercare only | $30.20 | $58.88 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $38.90 Typical High $79.43 | Professional | 56 · Pre-op care only | $20.42 | $38.90 | $79.43 |
Where Kansas sits
The same service costs 4.1 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 $4,142MT $1,002
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.