How much rates vary
Facilitymedian $30,903 · 10th to 90th $1,445 to $37,154Professionalmedian $1,230 · 10th to 90th $891 to $2,344
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 $1,698.24 Median $3,715.35 Typical High $8,912.51 | Facility | None | $1,698.24 | $3,715.35 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,348.96 | Professional | None | $831.76 | $1,047.13 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $30,902.95 Median $35,481.34 Typical High $37,153.52 | Facility | None | $30,902.95 | $35,481.34 | $37,153.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $33,113.11 Typical High $37,153.52 | Facility | None | $691.83 | $33,113.11 | $37,153.52 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,862.09 | Professional | None | $870.96 | $1,122.02 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $5,370.32 Typical High $33,884.42 | Facility | None | $54.95 | $5,370.32 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $6,165.95 | Professional | None | $1,000.00 | $1,202.26 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $34,673.69 | Facility | None | $1,348.96 | $8,128.31 | $34,673.69 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,584.89 | Professional | None | $933.25 | $1,096.48 | $1,584.89 |
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 $416.87 Median $524.81 Typical High $676.08 | Professional | 52 · Reduced service | $416.87 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $208.93 Typical High $269.15 | Professional | 53 · Discontinued | $165.96 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $794.33 Typical High $1,023.29 | Professional | 54 · Surgery only | $630.96 | $794.33 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $158.49 Typical High $204.17 | Professional | 55 · Aftercare only | $125.89 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $104.71 Typical High $134.90 | Professional | 56 · Pre-op care only | $83.18 | $104.71 | $134.90 |
Where Kansas sits
The same service costs 20.1 times more in Alaska than in Kentucky. 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 $49,097KY $2,446
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.