How much rates vary
Facilitymedian $1,514 · 10th to 90th $724 to $4,074Professionalmedian $1,778 · 10th to 90th $1,259 to $10,965
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 $2,089.30 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,778.28 | $2,187.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,445.44 | $1,548.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $602.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,445.44 | $1,905.46 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,778.28 Typical High $26,302.68 | Facility | None | $549.54 | $1,778.28 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $10,964.78 | Professional | None | $1,174.90 | $1,659.59 | $10,964.78 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,584.89 | $2,238.72 |
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 $724.44 Median $891.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $724.44 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $354.81 Typical High $436.52 | Professional | 53 · Discontinued | $288.40 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,348.96 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,071.52 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $269.15 Typical High $331.13 | Professional | 55 · Aftercare only | $213.80 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $177.83 Typical High $218.78 | Professional | 56 · Pre-op care only | $144.54 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,258.93 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,258.93 | $1,548.82 |
Where Kansas sits
The same service costs 3.7 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 $8,917DE $2,410
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.