How much rates vary
Facilitymedian $7,762 · 10th to 90th $955 to $24,547Professionalmedian $427 · 10th to 90th $316 to $8,318
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 $316.23 Median $389.05 Typical High $501.19 | Professional | None | $316.23 | $389.05 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | None | $19,952.62 | $19,952.62 | $19,952.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $19,498.45 Typical High $24,547.09 | Facility | None | $380.19 | $19,498.45 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $489.78 | Professional | None | $316.23 | $467.74 | $489.78 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $6,456.54 Typical High $17,378.01 | Facility | None | $562.34 | $6,456.54 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $8,317.64 | Professional | None | $323.59 | $389.05 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,620.87 | Facility | None | $1,122.02 | $6,165.95 | $18,620.87 |
United Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $501.19 | Professional | None | $316.23 | $371.54 | $501.19 |
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 $158.49 Median $194.98 Typical High $251.19 | Professional | 52 · Reduced service | $158.49 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $77.62 Typical High $100.00 | Professional | 53 · Discontinued | $63.10 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $295.12 Typical High $380.19 | Professional | 54 · Surgery only | $234.42 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $58.88 Typical High $75.86 | Professional | 55 · Aftercare only | $46.77 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $38.90 Typical High $50.12 | Professional | 56 · Pre-op care only | $31.62 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $275.42 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $218.78 | $275.42 | $354.81 |
Where Kansas sits
The same service costs 29.1 times more in Alabama 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
AL $30,626MT $1,051
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.