How much rates vary
Facilitymedian $631 · 10th to 90th $331 to $4,467Professionalmedian $166 · 10th to 90th $112 to $912
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 Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | None | $109.65 | $138.04 | $177.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $549.54 | Facility | None | $371.54 | $478.63 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $234.42 | Professional | None | $109.65 | $162.18 | $234.42 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $676.08 Typical High $12,022.64 | Facility | None | $234.42 | $676.08 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $912.01 | Professional | None | $123.03 | $154.88 | $912.01 |
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 $112.20 Median $138.04 Typical High $204.17 | Professional | None | $112.20 | $138.04 | $204.17 |
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 $54.95 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $54.95 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $104.71 Typical High $134.90 | Professional | 54 · Surgery only | $83.18 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $20.89 Typical High $26.92 | Professional | 55 · Aftercare only | $16.60 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.80 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.96 | $13.80 | $17.78 |
Where Kansas sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.