How much rates vary
Facilitymedian $4,074 · 10th to 90th $813 to $9,772Professionalmedian $3,388 · 10th to 90th $2,512 to $18,621
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 $3,019.95 Median $5,248.07 Typical High $9,549.93 | Facility | None | $3,019.95 | $5,248.07 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,511.89 | $3,019.95 | $3,715.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,897.79 Typical High $5,011.87 | Facility | None | $691.83 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,801.89 | Professional | None | $2,691.53 | $3,388.44 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,162.28 Typical High $9,549.93 | Facility | None | $54.95 | $3,162.28 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $18,620.87 | Professional | None | $2,511.89 | $3,235.94 | $18,620.87 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,884.03 | $3,981.07 |
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 $1,230.27 Median $1,513.56 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,230.27 | $1,513.56 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | 53 · Discontinued | $501.19 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,238.72 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,862.09 | $2,238.72 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $446.68 Typical High $562.34 | Professional | 55 · Aftercare only | $371.54 | $446.68 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | 56 · Pre-op care only | $251.19 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,089.30 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,089.30 | $2,570.40 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Texas. 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 $19,772TX $4,915
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.