How much rates vary
Facilitymedian $19,055 · 10th to 90th $2,239 to $22,909Professionalmedian $2,291 · 10th to 90th $1,622 to $16,982
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 $6,309.57 Typical High $18,620.87 | Facility | None | $3,162.28 | $6,309.57 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,584.89 | $1,905.46 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $19,054.61 Median $21,877.62 Typical High $22,908.68 | Facility | None | $19,054.61 | $21,877.62 | $22,908.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $27,542.29 Typical High $28,183.83 | Facility | None | $707.95 | $27,542.29 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $2,454.71 | Professional | None | $1,737.80 | $2,290.87 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $6,025.60 Typical High $13,182.57 | Facility | None | $1,202.26 | $6,025.60 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $16,982.44 | Professional | None | $1,698.24 | $2,137.96 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,862.09 | $2,630.27 |
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 $794.33 Median $954.99 Typical High $1,174.90 | Professional | 52 · Reduced service | $794.33 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $380.19 Typical High $467.74 | Professional | 53 · Discontinued | $316.23 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,445.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,202.26 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | 55 · Aftercare only | $239.88 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | 56 · Pre-op care only | $158.49 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,348.96 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,348.96 | $1,659.59 |
Where Kansas sits
The same service costs 10.9 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 $39,570KY $3,638
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.