How much rates vary
Facilitymedian $6,026 · 10th to 90th $813 to $12,882Professionalmedian $7,943 · 10th to 90th $525 to $21,380
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 $3,162.28 Median $7,762.47 Typical High $13,803.84 | Facility | None | $3,162.28 | $7,762.47 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $3,630.78 Typical High $9,120.11 | Professional | None | $467.74 | $3,630.78 | $9,120.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
BCBS Kansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $9,332.54 | Professional | None | $676.08 | $676.08 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $10,232.93 Typical High $10,471.29 | Facility | None | $1,778.28 | $10,232.93 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $7,244.36 Typical High $10,232.93 | Professional | None | $501.19 | $7,244.36 | $10,232.93 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,951.21 Typical High $13,182.57 | Facility | None | $54.95 | $2,951.21 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $7,943.28 Median $21,379.62 Typical High $42,657.95 | Professional | None | $7,943.28 | $21,379.62 | $42,657.95 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $537.03 Median $5,495.41 Typical High $9,772.37 | Professional | None | $537.03 | $5,495.41 | $9,772.37 |
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 $234.42 Median $2,570.40 Typical High $4,570.88 | Professional | 52 · Reduced service | $234.42 | $2,570.40 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $1,023.29 Typical High $1,819.70 | Professional | 53 · Discontinued | $93.33 | $1,023.29 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $3,890.45 Typical High $6,918.31 | Professional | 54 · Surgery only | $354.81 | $3,890.45 | $6,918.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $776.25 Typical High $1,380.38 | Professional | 55 · Aftercare only | $70.79 | $776.25 | $1,380.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $512.86 Typical High $912.01 | Professional | 56 · Pre-op care only | $46.77 | $512.86 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $3,630.78 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $331.13 | $3,630.78 | $6,456.54 |
Where Kansas sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.