How much rates vary
Facilitymedian $2,512 · 10th to 90th $603 to $8,913Professionalmedian $2,291 · 10th to 90th $1,660 to $11,749
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 $1,621.81 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,995.26 | $2,454.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $8,912.51 Typical High $9,332.54 | Facility | None | $707.95 | $8,912.51 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,737.80 | $2,454.71 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,513.56 Typical High $4,466.84 | Facility | None | $54.95 | $1,513.56 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $11,748.98 | Professional | None | $1,698.24 | $2,137.96 | $11,748.98 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,621.81 | $1,905.46 | $2,630.27 |
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 $794.33 Median $1,000.00 Typical High $1,230.27 | Professional | 52 · Reduced service | $794.33 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $398.11 Typical High $489.78 | Professional | 53 · Discontinued | $323.59 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,479.11 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,202.26 | $1,479.11 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $295.12 Typical High $371.54 | Professional | 55 · Aftercare only | $239.88 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $199.53 Typical High $245.47 | Professional | 56 · Pre-op care only | $162.18 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,380.38 | $1,737.80 |
Where Kansas sits
The same service costs 6.3 times more in Alaska than in Texas. 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 $16,928TX $2,675
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.