How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,259 to $7,586Professionalmedian $1,479 · 10th to 90th $1,122 to $2,818
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 $1,905.46 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,905.46 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,445.44 | $1,778.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $7,413.10 | Facility | None | $3,467.37 | $7,079.46 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,630.78 Typical High $4,168.69 | Facility | None | $691.83 | $3,630.78 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,445.44 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $10,964.78 | Facility | None | $54.95 | $2,187.76 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $8,128.31 | Professional | None | $1,174.90 | $1,380.38 | $8,128.31 |
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 $1,096.48 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,096.48 | $1,348.96 | $2,089.30 |
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 $549.54 Median $724.44 Typical High $891.25 | Professional | 52 · Reduced service | $549.54 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $288.40 Typical High $354.81 | Professional | 53 · Discontinued | $223.87 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,096.48 Typical High $1,348.96 | Professional | 54 · Surgery only | $831.76 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $218.78 Typical High $269.15 | Professional | 55 · Aftercare only | $165.96 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $144.54 Typical High $177.83 | Professional | 56 · Pre-op care only | $112.20 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,023.29 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $776.25 | $1,023.29 | $1,258.93 |
Where Kansas sits
The same service costs 3.4 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 $11,546MT $3,436
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.