How much rates vary
Facilitymedian $1,820 · 10th to 90th $724 to $7,762Professionalmedian $617 · 10th to 90th $437 to $3,162
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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $676.08 | Professional | None | $426.58 | $549.54 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,949.84 Typical High $2,041.74 | Facility | None | $562.34 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $933.25 | Professional | None | $416.87 | $616.60 | $933.25 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,737.80 Typical High $16,218.10 | Facility | None | $630.96 | $1,737.80 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $3,162.28 | Professional | None | $457.09 | $562.34 | $3,162.28 |
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 $436.52 Median $549.54 Typical High $794.33 | Professional | None | $436.52 | $549.54 | $794.33 |
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 $208.93 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $208.93 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $109.65 Typical High $134.90 | Professional | 53 · Discontinued | $85.11 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $416.87 Typical High $512.86 | Professional | 54 · Surgery only | $316.23 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $83.18 Typical High $102.33 | Professional | 55 · Aftercare only | $63.10 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $54.95 Typical High $67.61 | Professional | 56 · Pre-op care only | $42.66 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $389.05 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $295.12 | $389.05 | $478.63 |
Where Kansas sits
The same service costs 4.1 times more in Oklahoma 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
OK $5,653MT $1,368
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.