How much rates vary
Facilitymedian $1,380 · 10th to 90th $151 to $2,754Professionalmedian $646 · 10th to 90th $490 to $3,467
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 $794.33 Median $2,754.23 Typical High $7,943.28 | Facility | None | $794.33 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $794.33 | Professional | None | $467.74 | $630.96 | $794.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $1,445.44 | Facility | None | $151.36 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | None | $645.65 | $645.65 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $436.52 | Facility | None | $162.18 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $794.33 | Professional | None | $489.78 | $660.69 | $794.33 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $630.96 Typical High $12,022.64 | Facility | None | $162.18 | $630.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $3,467.37 Typical High $3,801.89 | Professional | None | $512.86 | $3,467.37 | $3,801.89 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $794.33 | Professional | None | $467.74 | $549.54 | $794.33 |
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 $234.42 Median $316.23 Typical High $398.11 | Professional | 52 · Reduced service | $234.42 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $125.89 Typical High $158.49 | Professional | 53 · Discontinued | $93.33 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $478.63 Typical High $588.84 | Professional | 54 · Surgery only | $354.81 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $95.50 Typical High $117.49 | Professional | 55 · Aftercare only | $70.79 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $63.10 Typical High $79.43 | Professional | 56 · Pre-op care only | $46.77 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $331.13 | $446.68 | $549.54 |
Where Kansas sits
The same service costs 4.7 times more in New York than in Florida. 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
NY $3,038FL $649
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.