How much rates vary
Facilitymedian $6,918 · 10th to 90th $977 to $13,183Professionalmedian $2,138 · 10th to 90th $1,622 to $11,220
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 $5,495.41 Typical High $10,715.19 | Facility | None | $2,884.03 | $5,495.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,905.46 | $2,398.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $12,022.64 Typical High $12,022.64 | Facility | None | $691.83 | $12,022.64 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,698.24 | $2,137.96 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,162.28 Typical High $17,378.01 | Facility | None | $54.95 | $3,162.28 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $11,220.18 | Professional | None | $1,778.28 | $2,290.87 | $11,220.18 |
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 $1,548.82 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,548.82 | $1,819.70 | $2,691.53 |
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 $776.25 Median $954.99 Typical High $1,202.26 | Professional | 52 · Reduced service | $776.25 | $954.99 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $309.03 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,445.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,174.90 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $288.40 Typical High $354.81 | Professional | 55 · Aftercare only | $234.42 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | 56 · Pre-op care only | $154.88 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,348.96 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,348.96 | $1,659.59 |
Where Kansas sits
The same service costs 6.5 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 $24,363KY $3,770
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.