How much rates vary
Facilitymedian $2,188 · 10th to 90th $759 to $8,913Professionalmedian $813 · 10th to 90th $617 to $4,365
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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $977.24 | Professional | None | $630.96 | $707.95 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,187.76 Typical High $2,398.83 | Facility | None | $741.31 | $2,187.76 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,096.48 | Professional | None | $630.96 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $26,302.68 | Facility | None | $707.95 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $4,365.16 | Professional | None | $602.56 | $1,202.26 | $4,365.16 |
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 $588.84 Median $707.95 Typical High $1,000.00 | Professional | None | $588.84 | $707.95 | $1,000.00 |
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 $316.23 Median $354.81 Typical High $489.78 | Professional | 52 · Reduced service | $316.23 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $194.98 | Professional | 53 · Discontinued | $125.89 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $537.03 Typical High $741.31 | Professional | 54 · Surgery only | $478.63 | $537.03 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $70.79 Typical High $97.72 | Professional | 56 · Pre-op care only | $63.10 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $501.19 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $691.83 |
Where Kansas sits
The same service costs 4.0 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 $7,771MT $1,932
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.