How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,479 to $7,943Professionalmedian $1,380 · 10th to 90th $1,023 to $7,413
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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,230.27 | $1,584.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,801.89 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $5,495.41 Typical High $5,623.41 | Facility | None | $562.34 | $5,495.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,445.44 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,148.15 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $7,413.10 | Professional | None | $1,047.13 | $1,288.25 | $7,413.10 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,202.26 | $1,659.59 |
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 $501.19 Median $616.60 Typical High $794.33 | Professional | 52 · Reduced service | $501.19 | $616.60 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $245.47 Typical High $316.23 | Professional | 53 · Discontinued | $199.53 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $933.25 Typical High $1,202.26 | Professional | 54 · Surgery only | $741.31 | $933.25 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $186.21 Typical High $239.88 | Professional | 55 · Aftercare only | $147.91 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $123.03 Typical High $158.49 | Professional | 56 · Pre-op care only | $100.00 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $870.96 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $691.83 | $870.96 | $1,122.02 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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 $10,992HI $2,489
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.