How much rates vary
Facilitymedian $10,471 · 10th to 90th $1,318 to $16,218Professionalmedian $1,072 · 10th to 90th $759 to $5,495
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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,148.15 | Professional | None | $741.31 | $933.25 | $1,148.15 |
BCBS Setting Facility Modifier None Typical Low $8,511.38 Median $15,135.61 Typical High $16,218.10 | Facility | None | $8,511.38 | $15,135.61 | $16,218.10 |
BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $10,964.78 Typical High $11,748.98 | Facility | None | $602.56 | $10,964.78 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,202.26 | Professional | None | $794.33 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,981.07 Typical High $26,302.68 | Facility | None | $977.24 | $3,981.07 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $5,495.41 | Professional | None | $794.33 | $1,023.29 | $5,495.41 |
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 $741.31 Median $851.14 Typical High $1,230.27 | Professional | None | $741.31 | $851.14 | $1,230.27 |
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 $371.54 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $147.91 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $870.96 | Professional | 54 · Surgery only | $562.34 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $74.13 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $645.65 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $524.81 | $645.65 | $812.83 |
Where Kansas sits
The same service costs 8.6 times more in Alaska than in Montana. 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 $20,398MT $2,377
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.