How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,413 to $12,882Professionalmedian $1,288 · 10th to 90th $1,000 to $3,311
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 $2,238.72 Median $6,456.54 Typical High $10,964.78 | Facility | None | $2,238.72 | $6,456.54 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,202.26 | $1,479.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $12,302.69 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,302.69 | $12,882.50 | $12,882.50 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $6,760.83 Typical High $6,918.31 | Facility | None | $912.01 | $6,760.83 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,905.46 | Professional | None | $891.25 | $1,318.26 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $11,220.18 | Facility | None | $1,174.90 | $2,951.21 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $6,760.83 | Professional | None | $977.24 | $1,148.15 | $6,760.83 |
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 $954.99 Median $1,122.02 Typical High $1,698.24 | Professional | None | $954.99 | $1,122.02 | $1,698.24 |
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 $524.81 Median $602.56 Typical High $741.31 | Professional | 52 · Reduced service | $524.81 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $239.88 Typical High $295.12 | Professional | 53 · Discontinued | $208.93 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $912.01 Typical High $1,122.02 | Professional | 54 · Surgery only | $794.33 | $912.01 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $181.97 Typical High $223.87 | Professional | 55 · Aftercare only | $158.49 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $120.23 Typical High $147.91 | Professional | 56 · Pre-op care only | $104.71 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $851.14 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $741.31 | $851.14 | $1,047.13 |
Where Kansas sits
The same service costs 4.6 times more in Wyoming 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
WY $13,103MT $2,825
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.