How much rates vary
Facilitymedian $2,455 · 10th to 90th $617 to $6,607Professionalmedian $1,862 · 10th to 90th $1,479 to $2,884
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 $2,187.76 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,187.76 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,238.72 | Professional | None | $1,621.81 | $2,187.76 | $2,238.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,168.69 Typical High $4,365.16 | Facility | None | $676.08 | $4,168.69 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,995.26 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,905.46 Typical High $6,309.57 | Facility | None | $54.95 | $1,905.46 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $9,549.93 | Professional | None | $1,412.54 | $2,089.30 | $9,549.93 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,380.38 | $2,089.30 | $2,884.03 |
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 $831.76 Median $1,096.48 Typical High $1,122.02 | Professional | 52 · Reduced service | $831.76 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $436.52 Typical High $446.68 | Professional | 53 · Discontinued | $331.13 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,258.93 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $251.19 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $218.78 Typical High $223.87 | Professional | 56 · Pre-op care only | $165.96 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,548.82 | $1,548.82 |
Where Kansas sits
The same service costs 6.6 times more in Alabama 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
AL $18,462KY $2,797
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.