How much rates vary
Facilitymedian $537 · 10th to 90th $316 to $2,951Professionalmedian $562 · 10th to 90th $447 to $3,236
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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $741.31 | Professional | None | $436.52 | $602.56 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $758.58 | Facility | None | $512.86 | $537.03 | $758.58 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | None | $562.34 | $562.34 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,202.26 | Facility | None | $380.19 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $741.31 | Professional | None | $446.68 | $588.84 | $741.31 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $616.60 Typical High $12,022.64 | Facility | None | $162.18 | $616.60 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $3,235.94 Typical High $3,548.13 | Professional | None | $467.74 | $3,235.94 | $3,548.13 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,905.46 | Facility | None | $125.89 | $407.38 | $1,905.46 |
United Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $741.31 | Professional | None | $416.87 | $489.78 | $741.31 |
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 $218.78 Median $302.00 Typical High $371.54 | Professional | 52 · Reduced service | $218.78 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $147.91 | Professional | 53 · Discontinued | $87.10 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $446.68 Typical High $562.34 | Professional | 54 · Surgery only | $331.13 | $446.68 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $66.07 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $60.26 Typical High $74.13 | Professional | 56 · Pre-op care only | $43.65 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $309.03 | $416.87 | $524.81 |
Where Kansas sits
The same service costs 5.3 times more in Colorado than in Florida. 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 $4,377FL $831
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.