How much rates vary
Facilitymedian $2,042 · 10th to 90th $891 to $5,888Professionalmedian $1,514 · 10th to 90th $1,096 to $3,802
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 $1,949.84 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,412.54 | $1,737.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,981.07 Typical High $4,073.80 | Facility | None | $794.33 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,513.56 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $5,623.41 | Facility | None | $954.99 | $1,905.46 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $7,943.28 | Professional | None | $1,148.15 | $1,412.54 | $7,943.28 |
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 $1,096.48 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,380.38 | $1,995.26 |
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 $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $549.54 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $218.78 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,071.52 Typical High $1,318.26 | Professional | 54 · Surgery only | $812.83 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $213.80 Typical High $263.03 | Professional | 55 · Aftercare only | $162.18 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,000.00 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $758.58 | $1,000.00 | $1,230.27 |
Where Kansas sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.