How much rates vary
Facilitymedian $1,047 · 10th to 90th $708 to $4,898Professionalmedian $646 · 10th to 90th $447 to $1,000
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 $660.69 Typical High $912.01 | Professional | None | $426.58 | $660.69 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,659.59 | Facility | None | $776.25 | $812.83 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None | $575.44 | $575.44 | $758.58 |
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 $562.34 Typical High $812.83 | Professional | None | $416.87 | $562.34 | $812.83 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $16,218.10 | Facility | None | $645.65 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $4,168.69 | Professional | None | $562.34 | $660.69 | $4,168.69 |
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 $562.34 Typical High $870.96 | Professional | None | $436.52 | $562.34 | $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 $213.80 Median $331.13 Typical High $457.09 | Professional | 52 · Reduced service | $213.80 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $85.11 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $501.19 Typical High $691.83 | Professional | 54 · Surgery only | $323.59 | $501.19 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $100.00 Typical High $138.04 | Professional | 55 · Aftercare only | $64.57 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $66.07 Typical High $91.20 | Professional | 56 · Pre-op care only | $42.66 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $467.74 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $302.00 | $467.74 | $645.65 |
Where Kansas sits
The same service costs 4.6 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 $6,614MT $1,440
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.