How much rates vary
Facilitymedian $3,236 · 10th to 90th $490 to $4,898Professionalmedian $257 · 10th to 90th $186 to $437
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 $660.69 Median $3,630.78 Typical High $7,943.28 | Facility | None | $660.69 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $346.74 | Professional | None | $154.88 | $239.88 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $3,630.78 Typical High $3,801.89 | Facility | None | $1,047.13 | $3,630.78 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,659.59 Typical High $1,698.24 | Facility | None | $562.34 | $1,659.59 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $380.19 | Professional | None | $190.55 | $263.03 | $380.19 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $1,348.96 Typical High $16,218.10 | Facility | None | $275.42 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $1,949.84 | Professional | None | $239.88 | $295.12 | $1,949.84 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Professional | None | $181.97 | $251.19 | $380.19 |
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 $77.62 Median $120.23 Typical High $173.78 | Professional | 52 · Reduced service | $77.62 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $47.86 Typical High $69.18 | Professional | 53 · Discontinued | $30.90 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $181.97 Typical High $263.03 | Professional | 54 · Surgery only | $117.49 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $52.48 | Professional | 55 · Aftercare only | $23.44 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $23.99 Typical High $34.67 | Professional | 56 · Pre-op care only | $15.49 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $169.82 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $109.65 | $169.82 | $245.47 |
Where Kansas sits
The same service costs 9.3 times more in Colorado 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
CO $5,912MT $637
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.