How much rates vary
Facilitymedian $1,950 · 10th to 90th $513 to $7,762Professionalmedian $575 · 10th to 90th $398 to $2,512
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 $2,754.23 Typical High $7,943.28 | Facility | None | $1,023.29 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $676.08 | Professional | None | $398.11 | $549.54 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $741.31 | Professional | None | $676.08 | $676.08 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $6,025.60 Typical High $6,760.83 | Facility | None | $380.19 | $6,025.60 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $831.76 | Professional | None | $389.05 | $512.86 | $831.76 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $12,022.64 | Facility | None | $501.19 | $954.99 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $5,888.44 | Professional | None | $457.09 | $891.25 | $5,888.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $741.31 | Professional | None | $380.19 | $457.09 | $741.31 |
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 $199.53 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $199.53 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $109.65 Typical High $134.90 | Professional | 53 · Discontinued | $79.43 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $407.38 Typical High $501.19 | Professional | 54 · Surgery only | $295.12 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $81.28 Typical High $100.00 | Professional | 55 · Aftercare only | $58.88 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $54.95 Typical High $67.61 | Professional | 56 · Pre-op care only | $39.81 | $54.95 | $67.61 |
Where Kansas sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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 $10,585DE $1,135
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.