How much rates vary
Facilitymedian $1,950 · 10th to 90th $832 to $6,607Professionalmedian $490 · 10th to 90th $347 to $2,399
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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $645.65 | Professional | None | $380.19 | $512.86 | $645.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,862.09 | $1,949.84 | $1,949.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $2,344.23 | Facility | None | $602.56 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $676.08 | Professional | None | $316.23 | $467.74 | $676.08 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,290.87 Typical High $26,302.68 | Facility | None | $602.56 | $2,290.87 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $2,951.21 | Professional | None | $346.74 | $389.05 | $2,951.21 |
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 $331.13 Median $380.19 Typical High $707.95 | Professional | None | $331.13 | $380.19 | $707.95 |
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 $204.17 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $102.33 Typical High $123.03 | Professional | 53 · Discontinued | $83.18 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $389.05 Typical High $457.09 | Professional | 54 · Surgery only | $309.03 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $77.62 Typical High $91.20 | Professional | 55 · Aftercare only | $61.66 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | 56 · Pre-op care only | $41.69 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $363.08 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $288.40 | $363.08 | $426.58 |
Where Kansas sits
The same service costs 5.3 times more in Alaska 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
AK $5,518MT $1,050
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.