How much rates vary
Facilitymedian $1,047 · 10th to 90th $617 to $4,786Professionalmedian $372 · 10th to 90th $234 to $1,479
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 $234.42 Median $346.74 Typical High $537.03 | Professional | None | $234.42 | $346.74 | $537.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,096.48 | Facility | None | $954.99 | $1,000.00 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $1,445.44 | Facility | None | $524.81 | $1,380.38 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $537.03 | Professional | None | $229.09 | $338.84 | $537.03 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $1,348.96 Typical High $16,218.10 | Facility | None | $380.19 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $691.83 Typical High $2,630.27 | Professional | None | $331.13 | $691.83 | $2,630.27 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $478.63 | Professional | None | $223.87 | $338.84 | $478.63 |
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 $117.49 Median $162.18 Typical High $269.15 | Professional | 52 · Reduced service | $117.49 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $64.57 Typical High $107.15 | Professional | 53 · Discontinued | $46.77 | $64.57 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $245.47 Typical High $407.38 | Professional | 54 · Surgery only | $177.83 | $245.47 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | 55 · Aftercare only | $35.48 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $32.36 Typical High $53.70 | Professional | 56 · Pre-op care only | $23.44 | $32.36 | $53.70 |
Where Kansas sits
The same service costs 7.9 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 $5,867MT $745
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.