How much rates vary
Facilitymedian $2,951 · 10th to 90th $617 to $4,898Professionalmedian $427 · 10th to 90th $302 to $708
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 $251.19 Median $389.05 Typical High $549.54 | Professional | None | $251.19 | $389.05 | $549.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $3,090.30 | Facility | None | $1,047.13 | $2,951.21 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,513.56 Typical High $1,698.24 | Facility | None | $524.81 | $1,513.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $616.60 | Professional | None | $302.00 | $416.87 | $616.60 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,412.54 Typical High $16,218.10 | Facility | None | $467.74 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $3,019.95 | Professional | None | $398.11 | $478.63 | $3,019.95 |
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 $302.00 Median $416.87 Typical High $616.60 | Professional | None | $302.00 | $416.87 | $616.60 |
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 $125.89 Median $194.98 Typical High $269.15 | Professional | 52 · Reduced service | $125.89 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $77.62 Typical High $109.65 | Professional | 53 · Discontinued | $50.12 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $295.12 Typical High $407.38 | Professional | 54 · Surgery only | $190.55 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $58.88 Typical High $81.28 | Professional | 55 · Aftercare only | $38.02 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $38.90 Typical High $54.95 | Professional | 56 · Pre-op care only | $25.12 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $275.42 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $177.83 | $275.42 | $380.19 |
Where Kansas sits
The same service costs 6.1 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 $6,346MT $1,043
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.