How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,096 to $7,762Professionalmedian $955 · 10th to 90th $661 to $4,786
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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,000.00 | Professional | None | $660.69 | $812.83 | $1,000.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $4,786.30 | Facility | None | $3,981.07 | $4,570.88 | $4,786.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $7,244.36 Typical High $7,413.10 | Facility | None | $794.33 | $7,244.36 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,023.29 | Professional | None | $691.83 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,398.83 Typical High $26,302.68 | Facility | None | $794.33 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $4,786.30 | Professional | None | $691.83 | $870.96 | $4,786.30 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,071.52 | Professional | None | $645.65 | $758.58 | $1,071.52 |
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 $331.13 Median $407.38 Typical High $501.19 | Professional | 52 · Reduced service | $331.13 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $489.78 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $151.36 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | 56 · Pre-op care only | $66.07 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $575.44 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $457.09 | $575.44 | $707.95 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in Montana. 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 $11,142MT $2,070
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.