How much rates vary
Facilitymedian $5,888 · 10th to 90th $776 to $13,490Professionalmedian $776 · 10th to 90th $589 to $3,020
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 $2,398.83 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,398.83 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $891.25 | Professional | None | $575.44 | $691.83 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $9,772.37 Typical High $10,232.93 | Facility | None | $676.08 | $9,772.37 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,174.90 | Professional | None | $575.44 | $812.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,162.28 Typical High $17,378.01 | Facility | None | $54.95 | $3,162.28 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $4,073.80 | Professional | None | $616.60 | $724.44 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,071.52 | Professional | None | $602.56 | $691.83 | $1,071.52 |
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 $288.40 Median $346.74 Typical High $446.68 | Professional | 52 · Reduced service | $288.40 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $177.83 | Professional | 53 · Discontinued | $114.82 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $676.08 | Professional | 54 · Surgery only | $426.58 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $134.90 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $89.13 |
Where Kansas sits
The same service costs 9.8 times more in Alaska 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
AK $17,480MT $1,783
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.