How much rates vary
Facilitymedian $2,692 · 10th to 90th $794 to $9,550Professionalmedian $977 · 10th to 90th $676 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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,000.00 | Professional | None | $645.65 | $794.33 | $1,000.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $2,290.87 | Facility | None | $707.95 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,023.29 | Professional | None | $707.95 | $1,000.00 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,912.51 | Facility | None | $54.95 | $2,187.76 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $4,786.30 | Professional | None | $724.44 | $891.25 | $4,786.30 |
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 $660.69 Median $776.25 Typical High $1,096.48 | Professional | None | $660.69 | $776.25 | $1,096.48 |
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 $323.59 Median $398.11 Typical High $489.78 | Professional | 52 · Reduced service | $323.59 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | 53 · Discontinued | $128.82 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $489.78 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $100.00 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $457.09 | $562.34 | $691.83 |
Where Kansas sits
The same service costs 7.6 times more in Oklahoma than in Texas. 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
OK $11,248TX $1,472
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.