How much rates vary
Facilitymedian $513 · 10th to 90th $151 to $1,288Professionalmedian $372 · 10th to 90th $288 to $2,089
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 $602.56 Median $4,677.35 Typical High $9,549.93 | Facility | None | $602.56 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $512.86 | Professional | None | $288.40 | $416.87 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $512.86 Typical High $537.03 | Facility | None | $151.36 | $512.86 | $537.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $186.21 | Facility | None | $128.82 | $177.83 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $512.86 | Professional | None | $288.40 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $398.11 Typical High $1,380.38 | Facility | None | $54.95 | $398.11 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $2,089.30 Typical High $2,454.71 | Professional | None | $338.84 | $2,089.30 | $2,454.71 |
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 $281.84 Median $338.84 Typical High $501.19 | Professional | None | $281.84 | $338.84 | $501.19 |
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 $144.54 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $144.54 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $57.54 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $213.80 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $43.65 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $28.84 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $199.53 | $295.12 | $363.08 |
Where Kansas sits
The same service costs 6.7 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 $2,828FL $419
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.