How much rates vary
Facilitymedian $28,840 · 10th to 90th $2,399 to $40,738Professionalmedian $646 · 10th to 90th $468 to $891
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 $4,677.35 Typical High $28,840.32 | Facility | None | $1,698.24 | $4,677.35 | $28,840.32 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $794.33 | Professional | None | $501.19 | $676.08 | $794.33 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $35,481.34 Typical High $35,481.34 | Facility | None | $707.95 | $35,481.34 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $741.31 | Professional | None | $446.68 | $575.44 | $741.31 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $12,882.50 Typical High $36,307.81 | Facility | None | $1,258.93 | $12,882.50 | $36,307.81 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $2,884.03 | Professional | None | $457.09 | $645.65 | $2,884.03 |
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 $446.68 Median $645.65 Typical High $870.96 | Professional | None | $446.68 | $645.65 | $870.96 |
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 $257.04 Median $331.13 Typical High $338.84 | Professional | 52 · Reduced service | $257.04 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $371.54 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $75.86 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $51.29 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $354.81 | $467.74 | $467.74 |
Where Kansas sits
The same service costs 42.9 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 $51,741MT $1,205
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.