How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,023 to $6,310Professionalmedian $1,023 · 10th to 90th $741 to $5,370
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 $1,513.56 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,513.56 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,174.90 | Professional | None | $724.44 | $912.01 | $1,174.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,122.02 Median $5,888.44 Typical High $6,309.57 | Facility | None | $1,122.02 | $5,888.44 | $6,309.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,318.26 | Facility | None | $645.65 | $1,258.93 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,122.02 | Professional | None | $741.31 | $1,047.13 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $26,302.68 | Facility | None | $891.25 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $5,370.32 | Professional | None | $758.58 | $933.25 | $5,370.32 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,174.90 | Professional | None | $741.31 | $870.96 | $1,174.90 |
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 $457.09 Typical High $588.84 | Professional | 52 · Reduced service | $363.08 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $181.97 Typical High $234.42 | Professional | 53 · Discontinued | $144.54 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $691.83 Typical High $891.25 | Professional | 54 · Surgery only | $549.54 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | 55 · Aftercare only | $109.65 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $91.20 Typical High $117.49 | Professional | 56 · Pre-op care only | $72.44 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $645.65 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $512.86 | $645.65 | $831.76 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.