How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,318 to $21,878Professionalmedian $617 · 10th to 90th $398 to $8,511
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 $3,715.35 Typical High $8,912.51 | Facility | None | $1,288.25 | $3,715.35 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $616.60 | Professional | None | $389.05 | $478.63 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $14,791.08 | Facility | None | $1,318.26 | $1,380.38 | $14,791.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $19,054.61 Typical High $21,379.62 | Facility | None | $524.81 | $19,054.61 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $776.25 | Professional | None | $398.11 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $8,128.31 Typical High $44,668.36 | Facility | None | $741.31 | $8,128.31 | $44,668.36 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $8,511.38 | Professional | None | $457.09 | $602.56 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $8,511.38 Typical High $26,915.35 | Facility | None | $1,348.96 | $8,511.38 | $26,915.35 |
United Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $707.95 | Professional | None | $398.11 | $467.74 | $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 $194.98 Median $239.88 Typical High $309.03 | Professional | 52 · Reduced service | $194.98 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $95.50 Typical High $123.03 | Professional | 53 · Discontinued | $77.62 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $363.08 Typical High $467.74 | Professional | 54 · Surgery only | $288.40 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $72.44 Typical High $93.33 | Professional | 55 · Aftercare only | $57.54 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $47.86 Typical High $61.66 | Professional | 56 · Pre-op care only | $38.90 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $338.84 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $269.15 | $338.84 | $436.52 |
Where Kansas sits
The same service costs 29.4 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 $37,066MT $1,262
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.