How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,445 to $10,000Professionalmedian $1,072 · 10th to 90th $759 to $5,495
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 $741.31 Median $933.25 Typical High $1,148.15 | Professional | None | $741.31 | $933.25 | $1,148.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,981.07 | $4,265.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $6,918.31 Typical High $7,079.46 | Facility | None | $794.33 | $6,918.31 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,230.27 | Professional | None | $794.33 | $1,230.27 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $26,302.68 | Facility | None | $977.24 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $5,495.41 | Professional | None | $794.33 | $1,000.00 | $5,495.41 |
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 $741.31 Median $851.14 Typical High $1,230.27 | Professional | None | $741.31 | $851.14 | $1,230.27 |
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 $371.54 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $147.91 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $562.34 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $74.13 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $645.65 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $524.81 | $645.65 | $794.33 |
Where Kansas sits
The same service costs 6.2 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 $14,513MT $2,350
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.