How much rates vary
Facilitymedian $1,000 · 10th to 90th $562 to $3,802Professionalmedian $417 · 10th to 90th $295 to $2,239
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 $1,023.29 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $467.74 | Professional | None | $295.12 | $338.84 | $467.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,047.13 | Facility | None | $954.99 | $1,000.00 | $1,047.13 |
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 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,230.27 | Facility | None | $524.81 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $537.03 | Professional | None | $316.23 | $478.63 | $537.03 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $16,218.10 | Facility | None | $446.68 | $1,047.13 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $2,238.72 | Professional | None | $316.23 | $588.84 | $2,238.72 |
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 $295.12 Median $346.74 Typical High $501.19 | Professional | None | $295.12 | $346.74 | $501.19 |
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 $147.91 Median $169.82 Typical High $234.42 | Professional | 52 · Reduced service | $147.91 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $67.61 Typical High $93.33 | Professional | 53 · Discontinued | $58.88 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $257.04 Typical High $354.81 | Professional | 54 · Surgery only | $218.78 | $257.04 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $51.29 Typical High $70.79 | Professional | 55 · Aftercare only | $43.65 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $33.88 Typical High $46.77 | Professional | 56 · Pre-op care only | $29.51 | $33.88 | $46.77 |
Where Kansas sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.