How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,259 to $11,749Professionalmedian $1,738 · 10th to 90th $1,380 to $8,913
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 $4,786.30 Typical High $9,549.93 | Facility | None | $2,187.76 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,778.28 | $2,454.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,659.59 | $1,659.59 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $4,073.80 | Facility | None | $912.01 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,778.28 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $26,302.68 | Facility | None | $1,258.93 | $2,511.89 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $3,162.28 Typical High $10,964.78 | Professional | None | $1,548.82 | $3,162.28 | $10,964.78 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,621.81 | $2,630.27 |
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 $630.96 Median $891.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $630.96 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $354.81 Typical High $489.78 | Professional | 53 · Discontinued | $251.19 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,348.96 Typical High $1,819.70 | Professional | 54 · Surgery only | $954.99 | $1,348.96 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $269.15 Typical High $371.54 | Professional | 55 · Aftercare only | $190.55 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $177.83 Typical High $245.47 | Professional | 56 · Pre-op care only | $125.89 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,258.93 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $891.25 | $1,258.93 | $1,698.24 |
Where Kansas sits
The same service costs 3.2 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 $12,311KY $3,892
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.