How much rates vary
Facilitymedian $4,571 · 10th to 90th $891 to $6,166Professionalmedian $692 · 10th to 90th $479 to $3,388
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 $1,174.90 Median $3,890.45 Typical High $8,912.51 | Facility | None | $1,174.90 | $3,890.45 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $758.58 | Professional | None | $478.63 | $549.54 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | None | $398.11 | $398.11 | $707.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $6,165.95 | Facility | None | $2,884.03 | $5,888.44 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,897.79 Typical High $5,128.61 | Facility | None | $1,778.28 | $4,897.79 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $870.96 | Professional | None | $512.86 | $691.83 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,258.93 Typical High $5,623.41 | Facility | None | $54.95 | $1,258.93 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $3,388.44 | Professional | None | $537.03 | $831.76 | $3,388.44 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $812.83 | Professional | None | $478.63 | $562.34 | $812.83 |
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 $239.88 Median $275.42 Typical High $380.19 | Professional | 52 · Reduced service | $239.88 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $109.65 Typical High $151.36 | Professional | 53 · Discontinued | $95.50 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $416.87 Typical High $575.44 | Professional | 54 · Surgery only | $354.81 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $83.18 Typical High $114.82 | Professional | 55 · Aftercare only | $70.79 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | 56 · Pre-op care only | $47.86 | $54.95 | $75.86 |
Where Kansas sits
The same service costs 6.1 times more in Alaska 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
AK $8,625MT $1,416
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.