How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,820 to $10,233Professionalmedian $513 · 10th to 90th $407 to $3,631
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 $8,317.64 Typical High $16,595.87 | Facility | None | $3,162.28 | $8,317.64 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,995.26 Typical High $2,398.83 | Professional | None (both parts) | $1,380.38 | $1,995.26 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $537.03 Typical High $549.54 | Professional | 26 · Professional part | $354.81 | $537.03 | $549.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $3,162.28 | Facility | None | $3,019.95 | $3,090.30 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $13,182.57 | Facility | None | $6,918.31 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,819.70 Typical High $2,818.38 | Professional | None (both parts) | $1,258.93 | $1,819.70 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $446.68 Typical High $588.84 | Professional | 26 · Professional part | $354.81 | $446.68 | $588.84 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $8,317.64 | Facility | None | $1,000.00 | $2,570.40 | $8,317.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $8,128.31 | Professional | None (both parts) | $380.19 | $501.19 | $8,128.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $501.19 Typical High $2,041.74 | Professional | 26 · Professional part | $371.54 | $501.19 | $2,041.74 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $389.05 | $501.19 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $478.63 Typical High $776.25 | Professional | 26 · Professional part | $346.74 | $478.63 | $776.25 |
6 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 $691.83 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $691.83 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $275.42 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,513.56 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,047.13 | $1,513.56 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $302.00 Typical High $309.03 | Professional | 55 · Aftercare only | $208.93 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $199.53 Typical High $208.93 | Professional | 56 · Pre-op care only | $138.04 | $199.53 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,479.11 Typical High $1,513.56 | Professional | TC · Technical part | $1,023.29 | $1,479.11 | $1,513.56 |
Where Kansas sits
The same service costs 14.5 times more in California than in Maine. 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.
Kansas· 9th of 51
$3,020
CA $8,128ME $562
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.