How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,096 to $6,310Professionalmedian $977 · 10th to 90th $692 to $5,888
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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,023.29 | Professional | None | $660.69 | $831.76 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,412.54 | $1,412.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,238.72 | Facility | None | $524.81 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Professional | None | $707.95 | $1,096.48 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $16,218.10 | Facility | None | $812.83 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $5,888.44 | Professional | None | $741.31 | $933.25 | $5,888.44 |
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 $676.08 Median $776.25 Typical High $1,148.15 | Professional | None | $676.08 | $776.25 | $1,148.15 |
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 $416.87 Typical High $512.86 | Professional | 52 · Reduced service | $331.13 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $630.96 Typical High $776.25 | Professional | 54 · Surgery only | $501.19 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $125.89 Typical High $154.88 | Professional | 55 · Aftercare only | $100.00 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $66.07 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $588.84 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $467.74 | $588.84 | $724.44 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin than in Hawaii. 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
WI $7,283HI $2,091
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.