How much rates vary
Facilitymedian $977 · 10th to 90th $229 to $3,548Professionalmedian $1,349 · 10th to 90th $141 to $4,571
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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $933.25 Typical High $1,949.84 | Professional | None | $123.03 | $933.25 | $1,949.84 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $1,513.56 | Professional | None | $181.97 | $181.97 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $977.24 Typical High $1,071.52 | Facility | None | $707.95 | $977.24 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $1,096.48 Typical High $1,778.28 | Professional | None | $131.83 | $1,096.48 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $630.96 Typical High $2,570.40 | Facility | None | $54.95 | $630.96 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $4,570.88 Typical High $9,120.11 | Professional | None | $1,258.93 | $4,570.88 | $9,120.11 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $141.25 Median $954.99 Typical High $1,479.11 | Professional | None | $141.25 | $954.99 | $1,479.11 |
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 $61.66 Median $416.87 Typical High $977.24 | Professional | 52 · Reduced service | $61.66 | $416.87 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $165.96 Typical High $389.05 | Professional | 53 · Discontinued | $25.12 | $165.96 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $616.60 Typical High $1,445.44 | Professional | 54 · Surgery only | $93.33 | $616.60 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $125.89 Typical High $295.12 | Professional | 55 · Aftercare only | $18.62 | $125.89 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $83.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $12.30 | $83.18 | $194.98 |
Where Kansas sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.