How much rates vary
Facilitymedian $4,677 · 10th to 90th $813 to $15,488Professionalmedian $447 · 10th to 90th $288 to $2,089
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 $288.40 Median $338.84 Typical High $467.74 | Professional | None | $288.40 | $338.84 | $467.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,677.35 Typical High $4,897.79 | Facility | None | $602.56 | $4,677.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $588.84 | Professional | None | $331.13 | $501.19 | $588.84 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $3,715.35 Typical High $26,302.68 | Facility | None | $588.84 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $2,089.30 | Professional | None | $338.84 | $602.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $512.86 | Professional | None | $288.40 | $346.74 | $512.86 |
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 $144.54 Median $169.82 Typical High $234.42 | Professional | 52 · Reduced service | $144.54 | $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 $251.19 Typical High $346.74 | Professional | 54 · Surgery only | $218.78 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $50.12 Typical High $69.18 | Professional | 55 · Aftercare only | $43.65 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.88 Typical High $46.77 | Professional | 56 · Pre-op care only | $28.84 | $33.88 | $46.77 |
Where Kansas sits
The same service costs 10.4 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 $8,979MT $863
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.