How much rates vary
Facilitymedian $1,445 · 10th to 90th $955 to $4,365Professionalmedian $1,445 · 10th to 90th $1,047 to $7,762
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 $1,819.70 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,819.70 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,318.26 | $1,621.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,445.44 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $1,122.02 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,445.44 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,479.11 Typical High $5,128.61 | Facility | None | $54.95 | $1,479.11 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $7,762.47 | Professional | None | $1,096.48 | $1,380.38 | $7,762.47 |
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 $1,047.13 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,230.27 | $1,737.80 |
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 $794.33 Median $977.24 Typical High $1,230.27 | Professional | 54 · Surgery only | $794.33 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $741.31 | $912.01 | $1,148.15 |
Where Kansas sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.