How much rates vary
Facilitymedian $1,660 · 10th to 90th $398 to $6,607Professionalmedian $525 · 10th to 90th $417 to $2,754
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 $416.87 Median $478.63 Typical High $602.56 | Professional | None | $416.87 | $478.63 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $2,884.03 Typical High $2,951.21 | Facility | None | $389.05 | $2,884.03 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $758.58 | Professional | None | $354.81 | $524.81 | $758.58 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $12,022.64 | Facility | None | $398.11 | $707.95 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $2,754.23 | Professional | None | $398.11 | $467.74 | $2,754.23 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $676.08 | Professional | None | $389.05 | $457.09 | $676.08 |
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 $208.93 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $363.08 Typical High $446.68 | Professional | 54 · Surgery only | $316.23 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $72.44 Typical High $89.13 | Professional | 55 · Aftercare only | $63.10 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $47.86 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $47.86 | $60.26 |
Where Kansas sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.