How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,413 to $8,511Professionalmedian $1,230 · 10th to 90th $851 to $6,026
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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,288.25 | Professional | None | $831.76 | $1,023.29 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $4,265.80 | Facility | None | $3,630.78 | $3,801.89 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,466.84 Typical High $5,011.87 | Facility | None | $741.31 | $4,466.84 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,258.93 | Professional | None | $891.25 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,047.13 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $6,025.60 | Professional | None | $891.25 | $1,122.02 | $6,025.60 |
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 $831.76 Median $954.99 Typical High $1,348.96 | Professional | None | $831.76 | $954.99 | $1,348.96 |
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 $416.87 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $416.87 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $165.96 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $776.25 Typical High $954.99 | Professional | 54 · Surgery only | $630.96 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $125.89 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $83.18 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $724.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $588.84 | $724.44 | $891.25 |
Where Kansas sits
The same service costs 5.3 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 $14,031MT $2,637
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.