How much rates vary
Facilitymedian $316 · 10th to 90th $49 to $2,754Professionalmedian $145 · 10th to 90th $22 to $269
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $151.36 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $169.82 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $26.30 | Professional | TC · Technical part | $16.98 | $21.88 | $26.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $21.88 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $52.48 Typical High $52.48 | Facility | None | $15.85 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $125.89 | $173.78 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $158.49 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $18.20 Typical High $22.39 | Professional | TC · Technical part | $12.59 | $18.20 | $22.39 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,288.25 | Facility | None | $54.95 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $1,148.15 | Professional | None (both parts) | $128.82 | $147.91 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $812.83 | Professional | 26 · Professional part | $117.49 | $138.04 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.80 Typical High $676.08 | Professional | TC · Technical part | $10.96 | $13.80 | $676.08 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $125.89 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $128.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.80 Typical High $25.70 | Professional | TC · Technical part | $10.96 | $13.80 | $25.70 |
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 $75.86 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $75.86 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $30.20 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $114.82 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $22.91 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $15.14 | $19.05 | $22.91 |
Where Kansas sits
The same service costs 4.7 times more in Alaska than in Alabama. 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.
Kansas· 35th of 51
$151
AK $490AL $105
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.