How much rates vary
Facilitymedian $4,571 · 10th to 90th $891 to $6,166Professionalmedian $708 · 10th to 90th $501 to $3,548
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 $501.19 Median $575.44 Typical High $794.33 | Professional | None | $501.19 | $575.44 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $741.31 | Professional | None | $371.54 | $407.38 | $741.31 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $537.03 Median $707.95 Typical High $912.01 | Professional | None | $537.03 | $707.95 | $912.01 |
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 $562.34 Median $891.25 Typical High $3,548.13 | Professional | None | $562.34 | $891.25 | $3,548.13 |
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 $501.19 Median $588.84 Typical High $851.14 | Professional | None | $501.19 | $588.84 | $851.14 |
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 $245.47 Median $288.40 Typical High $398.11 | Professional | 52 · Reduced service | $245.47 | $288.40 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | 53 · Discontinued | $100.00 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $436.52 Typical High $588.84 | Professional | 54 · Surgery only | $371.54 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 55 · Aftercare only | $74.13 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $57.54 Typical High $79.43 | Professional | 56 · Pre-op care only | $50.12 | $57.54 | $79.43 |
Where Kansas sits
The same service costs 5.9 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 $8,723MT $1,483
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.