How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,148 to $12,303Professionalmedian $1,288 · 10th to 90th $891 to $6,457
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 $1,819.70 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,819.70 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,348.96 | Professional | None | $870.96 | $1,096.48 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,981.07 Typical High $4,073.80 | Facility | None | $562.34 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,348.96 | Professional | None | $933.25 | $1,318.26 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,096.48 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $6,456.54 | Professional | None | $954.99 | $1,148.15 | $6,456.54 |
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 $870.96 Median $1,000.00 Typical High $1,412.54 | Professional | None | $870.96 | $1,000.00 | $1,412.54 |
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 $436.52 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $436.52 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $173.78 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $645.65 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $109.65 Typical High $134.90 | Professional | 56 · Pre-op care only | $87.10 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $602.56 | $758.58 | $933.25 |
Where Kansas sits
The same service costs 3.9 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 $10,228KY $2,649
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.