How much rates vary
Facilitymedian $2,138 · 10th to 90th $891 to $5,623Professionalmedian $631 · 10th to 90th $407 to $2,754
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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $851.14 | Professional | None | $371.54 | $562.34 | $851.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $3,090.30 | Facility | None | $2,041.74 | $2,137.96 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $776.25 | Professional | None | $512.86 | $512.86 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $5,370.32 | Facility | None | $602.56 | $5,128.61 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $794.33 | Professional | None | $389.05 | $645.65 | $794.33 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,412.54 Typical High $26,302.68 | Facility | None | $616.60 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $2,754.23 Typical High $4,073.80 | Professional | None | $549.54 | $2,754.23 | $4,073.80 |
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 $407.38 Median $549.54 Typical High $812.83 | Professional | None | $407.38 | $549.54 | $812.83 |
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 $186.21 Median $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $186.21 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $117.49 Typical High $169.82 | Professional | 53 · Discontinued | $74.13 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $436.52 Typical High $630.96 | Professional | 54 · Surgery only | $281.84 | $436.52 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $87.10 Typical High $125.89 | Professional | 55 · Aftercare only | $56.23 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $57.54 Typical High $85.11 | Professional | 56 · Pre-op care only | $37.15 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $407.38 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $263.03 | $407.38 | $588.84 |
Where Kansas sits
The same service costs 6.4 times more in Alaska than in Montana. 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 $8,723MT $1,361
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.