How much rates vary
Facilitymedian $4,169 · 10th to 90th $813 to $9,772Professionalmedian $3,311 · 10th to 90th $2,399 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 $5,128.61 Typical High $9,549.93 | Facility | None | $3,019.95 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,951.21 | $3,630.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
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 $2,630.27 Median $3,311.31 Typical High $3,715.35 | Professional | None | $2,630.27 | $3,311.31 | $3,715.35 |
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 $2,454.71 Median $3,162.28 Typical High $18,620.87 | Professional | None | $2,454.71 | $3,162.28 | $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 $2,398.83 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,398.83 | $2,818.38 | $3,981.07 |
2 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 54 · Surgery only Typical Low $1,819.70 Median $2,187.76 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,819.70 | $2,187.76 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,041.74 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,041.74 | $2,570.40 |
Where Kansas sits
The same service costs 4.0 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 $19,545KY $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.