How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,259 to $7,943Professionalmedian $1,047 · 10th to 90th $708 to $5,754
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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Professional | None | $691.83 | $851.14 | $1,047.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,168.69 | $4,365.16 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $6,456.54 Typical High $6,456.54 | Facility | None | $602.56 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,380.38 Typical High $1,380.38 | Professional | None | $724.44 | $1,380.38 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,951.21 Typical High $26,302.68 | Facility | None | $954.99 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $5,754.40 | Professional | None | $794.33 | $1,023.29 | $5,754.40 |
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 $691.83 Median $794.33 Typical High $1,202.26 | Professional | None | $691.83 | $794.33 | $1,202.26 |
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 $346.74 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $346.74 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $138.04 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $645.65 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $102.33 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | 56 · Pre-op care only | $69.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $602.56 | $741.31 |
Where Kansas sits
The same service costs 6.4 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 $13,837MT $2,168
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.