How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,622 to $26,303Professionalmedian $1,698 · 10th to 90th $1,175 to $2,884
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 $3,162.28 Median $7,762.47 Typical High $13,489.63 | Facility | None | $3,162.28 | $7,762.47 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,737.80 | $1,778.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $12,302.69 Typical High $24,547.09 | Facility | None | $8,128.31 | $12,302.69 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,548.82 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $7,762.47 Typical High $31,622.78 | Facility | None | $1,412.54 | $7,762.47 | $31,622.78 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $6,606.93 | Professional | None | $1,230.27 | $1,698.24 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $26,915.35 | Facility | None | $1,348.96 | $8,128.31 | $26,915.35 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,698.24 | $2,570.40 |
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 $588.84 Median $870.96 Typical High $891.25 | Professional | 52 · Reduced service | $588.84 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $346.74 Typical High $354.81 | Professional | 53 · Discontinued | $234.42 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,288.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $263.03 Typical High $269.15 | Professional | 55 · Aftercare only | $177.83 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $173.78 Typical High $177.83 | Professional | 56 · Pre-op care only | $117.49 | $173.78 | $177.83 |
Where Kansas sits
The same service costs 8.1 times more in Indiana 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
IN $23,026KY $2,834
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.