How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,288 to $8,710Professionalmedian $1,047 · 10th to 90th $741 to $2,188
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 $1,258.93 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,258.93 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,122.02 | Professional | None | $724.44 | $851.14 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $6,309.57 Typical High $6,606.93 | Facility | None | $3,467.37 | $6,309.57 | $6,606.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,630.78 Typical High $4,073.80 | Facility | None | $831.76 | $3,630.78 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,513.56 | Professional | None | $724.44 | $1,047.13 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $3,090.30 Typical High $26,302.68 | Facility | None | $1,000.00 | $3,090.30 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $6,760.83 | Professional | None | $794.33 | $912.01 | $6,760.83 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,951.21 Typical High $8,912.51 | Facility | None | $870.96 | $2,951.21 | $8,912.51 |
United Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,380.38 | Professional | None | $758.58 | $831.76 | $1,380.38 |
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 $363.08 Median $426.58 Typical High $537.03 | Professional | 52 · Reduced service | $363.08 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $173.78 Typical High $213.80 | Professional | 53 · Discontinued | $147.91 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $549.54 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $109.65 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | 56 · Pre-op care only | $72.44 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $512.86 | $602.56 | $758.58 |
Where Kansas sits
The same service costs 4.5 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 $10,099MT $2,245
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.