How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,778 to $15,488Professionalmedian $1,738 · 10th to 90th $1,175 to $7,943
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 $1,995.26 Median $7,943.28 Typical High $19,498.45 | Facility | None | $1,995.26 | $7,943.28 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,318.26 | $1,778.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,585.78 Median $9,120.11 Typical High $9,549.93 | Facility | None | $7,585.78 | $9,120.11 | $9,549.93 |
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 $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,819.70 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $3,715.35 Typical High $22,387.21 | Facility | None | $1,148.15 | $3,715.35 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $7,943.28 | Professional | None | $1,380.38 | $2,137.96 | $7,943.28 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,715.35 Typical High $16,218.10 | Facility | None | $933.25 | $3,715.35 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,380.38 | $2,041.74 |
2 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 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,258.93 |
Where Kansas sits
The same service costs 8.7 times more in Maine 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
ME $27,149KY $3,127
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.