How much rates vary
Facilitymedian $2,455 · 10th to 90th $955 to $5,495Professionalmedian $417 · 10th to 90th $309 to $2,818
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 $1,698.24 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | None | $323.59 | $389.05 | $478.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,096.48 | $2,454.71 | $2,570.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,445.44 | Facility | None | $741.31 | $1,380.38 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $588.84 | Professional | None | $302.00 | $416.87 | $588.84 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,737.80 Typical High $26,302.68 | Facility | None | $537.03 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $6,918.31 | Professional | None | $309.03 | $363.08 | $6,918.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $549.54 | Professional | None | $302.00 | $354.81 | $549.54 |
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 $165.96 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $67.61 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $288.40 Typical High $354.81 | Professional | 54 · Surgery only | $251.19 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $50.12 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.11 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $234.42 | $269.15 | $331.13 |
Where Kansas sits
The same service costs 6.6 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 $6,126MT $925
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.