How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,202 to $7,244Professionalmedian $933 · 10th to 90th $708 to $5,129
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 $741.31 Median $1,047.13 Typical High $1,348.96 | Professional | None | $741.31 | $1,047.13 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,466.84 | $4,677.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,897.79 Typical High $5,495.41 | Facility | None | $691.83 | $4,897.79 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $954.99 | Professional | None | $707.95 | $891.25 | $954.99 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $9,549.93 | Facility | None | $54.95 | $2,187.76 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $5,128.61 | Professional | None | $812.83 | $933.25 | $5,128.61 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,023.29 | Professional | None | $724.44 | $831.76 | $1,023.29 |
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 $380.19 Median $524.81 Typical High $660.69 | Professional | 52 · Reduced service | $380.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $208.93 Typical High $269.15 | Professional | 53 · Discontinued | $151.36 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $776.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $575.44 | $776.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $158.49 Typical High $199.53 | Professional | 55 · Aftercare only | $114.82 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $104.71 Typical High $134.90 | Professional | 56 · Pre-op care only | $75.86 | $104.71 | $134.90 |
Where Kansas sits
The same service costs 5.9 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 $12,304MT $2,095
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.