How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,318 to $7,943Professionalmedian $1,047 · 10th to 90th $794 to $3,631
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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,288.25 | Professional | None | $794.33 | $1,047.13 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,630.78 Median $7,079.46 Typical High $7,413.10 | Facility | None | $3,630.78 | $7,079.46 | $7,413.10 |
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 $645.65 Median $3,981.07 Typical High $4,073.80 | Facility | None | $645.65 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,621.81 | Professional | None | $776.25 | $1,122.02 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,000.00 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $5,888.44 | Professional | None | $831.76 | $1,023.29 | $5,888.44 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,513.56 | Professional | None | $794.33 | $1,000.00 | $1,513.56 |
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 $398.11 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $398.11 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $158.49 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $776.25 Typical High $954.99 | Professional | 54 · Surgery only | $602.56 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $120.23 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $79.43 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $724.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $562.34 | $724.44 | $891.25 |
Where Kansas sits
The same service costs 4.2 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 $10,315MT $2,461
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.