How much rates vary
Facilitymedian $3,981 · 10th to 90th $813 to $10,000Professionalmedian $2,754 · 10th to 90th $1,738 to $15,136
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 $3,019.95 Median $5,128.61 Typical High $9,549.93 | Facility | None | $3,019.95 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,041.74 | $2,570.40 | $3,162.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,897.79 Typical High $5,011.87 | Facility | None | $707.95 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,884.03 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,818.38 Typical High $9,549.93 | Facility | None | $54.95 | $2,818.38 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $15,135.61 | Professional | None | $1,230.27 | $2,511.89 | $15,135.61 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,122.02 | $2,454.71 | $3,311.31 |
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 $1,023.29 Median $1,288.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,023.29 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | 53 · Discontinued | $416.87 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,905.46 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,548.82 | $1,905.46 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $380.19 Typical High $478.63 | Professional | 55 · Aftercare only | $309.03 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | 56 · Pre-op care only | $204.17 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,778.28 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,778.28 | $2,187.76 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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 $18,090KY $3,723
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.