How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,259 to $8,318Professionalmedian $1,072 · 10th to 90th $513 to $3,467
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 $1,380.38 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,380.38 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,047.13 | Professional | None | $660.69 | $812.83 | $1,047.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,454.71 | $2,454.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,265.80 Typical High $4,365.16 | Facility | None | $562.34 | $4,265.80 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,778.28 | Professional | None | $912.01 | $1,148.15 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,467.37 Typical High $16,218.10 | Facility | None | $851.14 | $3,467.37 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,047.13 Typical High $5,623.41 | Professional | None | $446.68 | $1,047.13 | $5,623.41 |
United Setting Facility Modifier None Typical Low $870.96 Median $3,388.44 Typical High $9,549.93 | Facility | None | $870.96 | $3,388.44 | $9,549.93 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,023.29 Typical High $1,621.81 | Professional | None | $436.52 | $1,023.29 | $1,621.81 |
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 $331.13 Median $407.38 Typical High $512.86 | Professional | 52 · Reduced service | $331.13 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $501.19 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $123.03 Typical High $154.88 | Professional | 55 · Aftercare only | $100.00 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $81.28 Typical High $102.33 | Professional | 56 · Pre-op care only | $66.07 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $467.74 | $575.44 | $724.44 |
Where Kansas sits
The same service costs 6.0 times more in Colorado 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
CO $12,924HI $2,150
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.