How much rates vary
Facilitymedian $21,878 · 10th to 90th $1,479 to $32,359Professionalmedian $759 · 10th to 90th $537 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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $912.01 | Professional | None | $537.03 | $645.65 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $21,877.62 Median $22,908.68 Typical High $23,988.33 | Facility | None | $21,877.62 | $22,908.68 | $23,988.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $37,153.52 Typical High $38,018.94 | Facility | None | $562.34 | $37,153.52 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Professional | None | $537.03 | $758.58 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $8,128.31 Typical High $26,302.68 | Facility | None | $1,148.15 | $8,128.31 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $13,489.63 | Professional | None | $549.54 | $676.08 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $26,915.35 | Facility | None | $1,348.96 | $8,128.31 | $26,915.35 |
United Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $1,000.00 | Professional | None | $537.03 | $630.96 | $1,000.00 |
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 $269.15 Median $323.59 Typical High $416.87 | Professional | 52 · Reduced service | $269.15 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $128.82 Typical High $165.96 | Professional | 53 · Discontinued | $107.15 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $489.78 Typical High $630.96 | Professional | 54 · Surgery only | $398.11 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | 55 · Aftercare only | $79.43 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $64.57 Typical High $83.18 | Professional | 56 · Pre-op care only | $53.70 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $457.09 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $371.54 | $457.09 | $588.84 |
Where Kansas sits
The same service costs 24.6 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 $43,875MT $1,787
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.