How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,175 to $6,310Professionalmedian $1,072 · 10th to 90th $813 to $3,090
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,288.25 | Professional | None | $891.25 | $1,047.13 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,951.21 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $3,630.78 Typical High $3,715.35 | Facility | None | $380.19 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,621.81 | Professional | None | $758.58 | $1,122.02 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $12,022.64 | Facility | None | $812.83 | $2,398.83 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $5,888.44 | Professional | None | $794.33 | $954.99 | $5,888.44 |
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 $776.25 Median $912.01 Typical High $1,479.11 | Professional | None | $776.25 | $912.01 | $1,479.11 |
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 $446.68 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $181.97 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | 54 · Surgery only | $676.08 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $134.90 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $89.13 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $724.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $630.96 | $724.44 | $891.25 |
Where Kansas sits
The same service costs 5.0 times more in Oklahoma than in Hawaii. 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 $9,757HI $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.