How much rates vary
Facilitymedian $1,148 · 10th to 90th $447 to $3,715Professionalmedian $1,122 · 10th to 90th $776 to $5,370
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,122.02 | Professional | None | $741.31 | $912.01 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,258.93 | Facility | None | $707.95 | $1,148.15 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,148.15 | Professional | None | $812.83 | $1,148.15 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,090.30 | Facility | None | $54.95 | $1,000.00 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $5,370.32 | Professional | None | $831.76 | $1,023.29 | $5,370.32 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,230.27 | Professional | None | $758.58 | $891.25 | $1,230.27 |
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 $371.54 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $371.54 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $181.97 Typical High $229.09 | Professional | 53 · Discontinued | $147.91 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $549.54 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $169.82 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $74.13 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $645.65 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $512.86 | $645.65 | $794.33 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.