How much rates vary
Facilitymedian $380 · 10th to 90th $107 to $2,692Professionalmedian $437 · 10th to 90th $324 to $2,399
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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $645.65 | Professional | None | $363.08 | $501.19 | $645.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None | $436.52 | $436.52 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $239.88 | Facility | None | $165.96 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $489.78 | Professional | None | $323.59 | $346.74 | $489.78 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $407.38 Typical High $1,288.25 | Facility | None | $54.95 | $407.38 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $2,398.83 Typical High $2,454.71 | Professional | None | $331.13 | $2,398.83 | $2,454.71 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $457.09 | Professional | None | $309.03 | $380.19 | $457.09 |
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 $181.97 Median $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $181.97 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $100.00 Typical High $128.82 | Professional | 53 · Discontinued | $72.44 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $371.54 Typical High $478.63 | Professional | 54 · Surgery only | $269.15 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $74.13 Typical High $97.72 | Professional | 55 · Aftercare only | $53.70 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $50.12 Typical High $64.57 | Professional | 56 · Pre-op care only | $36.31 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $346.74 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $251.19 | $346.74 | $446.68 |
Where Kansas sits
The same service costs 7.4 times more in Hawaii than in Florida. 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
HI $3,255FL $440
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.