How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,202 to $6,607Professionalmedian $1,122 · 10th to 90th $794 to $5,888
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 $794.33 Median $977.24 Typical High $1,230.27 | Professional | None | $794.33 | $977.24 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,187.76 Typical High $2,238.72 | Facility | None | $645.65 | $2,187.76 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,258.93 | Professional | None | $794.33 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $26,302.68 | Facility | None | $812.83 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $5,888.44 | Professional | None | $812.83 | $1,047.13 | $5,888.44 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Professional | None | $776.25 | $891.25 | $1,288.25 |
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 $398.11 Median $489.78 Typical High $616.60 | Professional | 52 · Reduced service | $398.11 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $158.49 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $741.31 Typical High $912.01 | Professional | 54 · Surgery only | $588.84 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $147.91 Typical High $181.97 | Professional | 55 · Aftercare only | $117.49 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $691.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $549.54 | $691.83 | $851.14 |
Where Kansas sits
The same service costs 3.1 times more in Wisconsin than in Hawaii. 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
WI $7,619HI $2,493
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.