How much rates vary
Facilitymedian $7,762 · 10th to 90th $977 to $19,498Professionalmedian $2,455 · 10th to 90th $1,862 to $12,882
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 $2,951.21 Median $7,244.36 Typical High $13,803.84 | Facility | None | $2,951.21 | $7,244.36 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,778.28 | $2,187.76 | $2,754.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | None | $15,488.17 | $15,488.17 | $15,488.17 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $17,378.01 Typical High $19,498.45 | Facility | None | $691.83 | $17,378.01 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,454.71 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,548.13 Typical High $17,378.01 | Facility | None | $54.95 | $3,548.13 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $12,882.50 | Professional | None | $2,041.74 | $2,630.27 | $12,882.50 |
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 $1,819.70 Median $2,089.30 Typical High $3,090.30 | Professional | None | $1,819.70 | $2,089.30 | $3,090.30 |
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 $891.25 Median $1,096.48 Typical High $1,348.96 | Professional | 52 · Reduced service | $891.25 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $436.52 Typical High $549.54 | Professional | 53 · Discontinued | $354.81 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,659.59 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,318.26 | $1,659.59 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $331.13 Typical High $407.38 | Professional | 55 · Aftercare only | $269.15 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | 56 · Pre-op care only | $177.83 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,548.82 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,548.82 | $1,905.46 |
Where Kansas sits
The same service costs 7.8 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 $31,233KY $3,989
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.