How much rates vary
Facilitymedian $32,359 · 10th to 90th $1,862 to $40,738Professionalmedian $1,479 · 10th to 90th $1,000 to $2,042
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 $2,398.83 Median $7,762.47 Typical High $18,620.87 | Facility | None | $2,398.83 | $7,762.47 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,513.56 | $1,905.46 |
BCBS Kansas Setting Facility Modifier None Typical Low $28,183.83 Median $38,904.51 Typical High $40,738.03 | Facility | None | $28,183.83 | $38,904.51 | $40,738.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $33,884.42 Typical High $38,018.94 | Facility | None | $691.83 | $33,884.42 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,348.96 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $9,120.11 Typical High $43,651.58 | Facility | None | $1,412.54 | $9,120.11 | $43,651.58 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $26,302.68 | Professional | None | $1,000.00 | $1,445.44 | $26,302.68 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $8,912.51 Typical High $38,018.94 | Facility | None | $1,412.54 | $8,912.51 | $38,018.94 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,995.26 | Professional | None | $954.99 | $1,445.44 | $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 $575.44 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $229.09 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,122.02 Typical High $1,148.15 | Professional | 54 · Surgery only | $851.14 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $223.87 Typical High $229.09 | Professional | 55 · Aftercare only | $173.78 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,047.13 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $794.33 | $1,047.13 | $1,071.52 |
Where Kansas sits
The same service costs 19.9 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 $53,750MT $2,699
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.