How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,288 to $7,762Professionalmedian $1,413 · 10th to 90th $1,047 to $7,762
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 $1,949.84 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,318.26 | $1,621.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $3,548.13 | Facility | None | $3,090.30 | $3,388.44 | $3,548.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,466.84 Typical High $5,011.87 | Facility | None | $741.31 | $4,466.84 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,445.44 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $26,302.68 | Facility | None | $831.76 | $2,454.71 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $7,762.47 | Professional | None | $1,047.13 | $1,318.26 | $7,762.47 |
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 $1,023.29 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,174.90 | $1,659.59 |
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 $524.81 Median $645.65 Typical High $812.83 | Professional | 52 · Reduced service | $524.81 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $263.03 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $977.24 Typical High $1,202.26 | Professional | 54 · Surgery only | $776.25 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $194.98 Typical High $239.88 | Professional | 55 · Aftercare only | $154.88 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $131.83 Typical High $162.18 | Professional | 56 · Pre-op care only | $104.71 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $912.01 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $724.44 | $912.01 | $1,122.02 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in Delaware. 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 $12,209DE $3,093
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.