How much rates vary
Facilitymedian $1,148 · 10th to 90th $891 to $4,467Professionalmedian $1,778 · 10th to 90th $1,318 to $9,120
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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,548.82 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,071.52 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,202.26 | $1,659.59 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,380.38 | $1,778.28 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,621.81 Typical High $5,128.61 | Facility | None | $54.95 | $1,621.81 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $9,120.11 | Professional | None | $1,445.44 | $1,819.70 | $9,120.11 |
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 $1,288.25 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,513.56 | $2,137.96 |
2 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 54 · Surgery only Typical Low $933.25 Median $1,174.90 Typical High $1,445.44 | Professional | 54 · Surgery only | $933.25 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,096.48 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $870.96 | $1,096.48 | $1,348.96 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.