How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,288 to $9,550Professionalmedian $933 · 10th to 90th $646 to $4,677
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 $645.65 Median $794.33 Typical High $977.24 | Professional | None | $645.65 | $794.33 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,073.80 Median $7,585.78 Typical High $7,943.28 | Facility | None | $4,073.80 | $7,585.78 | $7,943.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $6,165.95 Typical High $6,309.57 | Facility | None | $645.65 | $6,165.95 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,047.13 | Professional | None | $676.08 | $1,047.13 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,715.35 Typical High $26,302.68 | Facility | None | $851.14 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $4,677.35 | Professional | None | $660.69 | $870.96 | $4,677.35 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,023.29 | Professional | None | $630.96 | $724.44 | $1,023.29 |
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 $316.23 Median $398.11 Typical High $489.78 | Professional | 52 · Reduced service | $316.23 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | 53 · Discontinued | $128.82 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $478.63 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $97.72 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $446.68 | $562.34 | $691.83 |
Where Kansas sits
The same service costs 6.8 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 $13,753MT $2,023
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.