How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,585 to $16,218Professionalmedian $1,585 · 10th to 90th $1,122 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 $1,737.80 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,737.80 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,122.02 | $1,412.54 | $1,737.80 |
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 $8,912.51 Median $15,135.61 Typical High $16,218.10 | Facility | None | $8,912.51 | $15,135.61 | $16,218.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $11,220.18 Typical High $12,302.69 | Facility | None | $602.56 | $11,220.18 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,202.26 | $1,698.24 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $4,168.69 Typical High $26,302.68 | Facility | None | $1,148.15 | $4,168.69 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $8,317.64 | Professional | None | $1,202.26 | $1,513.56 | $8,317.64 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,715.35 Typical High $12,302.69 | Facility | None | $933.25 | $3,715.35 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,318.26 | $1,819.70 |
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 $562.34 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $562.34 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $223.87 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,047.13 Typical High $1,288.25 | Professional | 54 · Surgery only | $851.14 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | 55 · Aftercare only | $169.82 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $112.20 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $977.24 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $794.33 | $977.24 | $1,202.26 |
Where Kansas sits
The same service costs 7.7 times more in Alaska 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
AK $21,949HI $2,858
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.