How much rates vary
Facilitymedian $3,890 · 10th to 90th $813 to $9,772Professionalmedian $2,042 · 10th to 90th $1,349 to $10,965
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 $2,884.03 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,884.03 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,862.09 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,897.79 Typical High $5,011.87 | Facility | None | $707.95 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,659.59 | $2,089.30 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,398.83 Typical High $9,549.93 | Facility | None | $54.95 | $2,398.83 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $10,964.78 | Professional | None | $1,096.48 | $1,819.70 | $10,964.78 |
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 $977.24 Median $1,778.28 Typical High $2,454.71 | Professional | None | $977.24 | $1,778.28 | $2,454.71 |
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 $758.58 Median $933.25 Typical High $1,174.90 | Professional | 52 · Reduced service | $758.58 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $371.54 Typical High $467.74 | Professional | 53 · Discontinued | $302.00 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,412.54 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,148.15 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $281.84 Typical High $346.74 | Professional | 55 · Aftercare only | $229.09 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $186.21 Typical High $234.42 | Professional | 56 · Pre-op care only | $151.36 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,318.26 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,318.26 | $1,621.81 |
Where Kansas sits
The same service costs 5.5 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 $15,938KY $2,890
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.