How much rates vary
Facilitymedian $1,905 · 10th to 90th $562 to $4,074Professionalmedian $437 · 10th to 90th $324 to $3,388
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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Professional | None | $331.13 | $416.87 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $1,995.26 | Facility | None | $1,023.29 | $1,905.46 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $1,202.26 | Facility | None | $524.81 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $512.86 | Professional | None | $346.74 | $436.52 | $512.86 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $16,218.10 | Facility | None | $446.68 | $1,047.13 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $3,388.44 | Professional | None | $323.59 | $407.38 | $3,388.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $524.81 | Professional | None | $316.23 | $371.54 | $524.81 |
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 $165.96 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $309.03 Typical High $380.19 | Professional | 54 · Surgery only | $251.19 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $288.40 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $234.42 | $288.40 | $354.81 |
Where Kansas sits
The same service costs 4.6 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 $4,822MT $1,050
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.