How much rates vary
Facilitymedian $3,981 · 10th to 90th $813 to $9,550Professionalmedian $1,698 · 10th to 90th $1,175 to $8,318
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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,412.54 | $1,737.80 |
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 $676.08 Median $6,606.93 Typical High $6,918.31 | Facility | None | $676.08 | $6,606.93 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,949.84 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $9,332.54 | Facility | None | $54.95 | $2,187.76 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $8,317.64 | Professional | None | $1,230.27 | $1,513.56 | $8,317.64 |
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 $1,148.15 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,318.26 | $1,862.09 |
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 $575.44 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $575.44 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $229.09 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,071.52 Typical High $1,318.26 | Professional | 54 · Surgery only | $851.14 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $213.80 Typical High $263.03 | Professional | 55 · Aftercare only | $169.82 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $114.82 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,000.00 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $794.33 | $1,000.00 | $1,230.27 |
Where Kansas sits
The same service costs 5.1 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 $14,343KY $2,808
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.