How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,230 to $6,918Professionalmedian $1,318 · 10th to 90th $933 to $6,761
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 $912.01 Median $1,122.02 Typical High $1,412.54 | Professional | None | $912.01 | $1,122.02 | $1,412.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,951.21 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $5,370.32 | Facility | None | $741.31 | $5,128.61 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,513.56 Typical High $1,513.56 | Professional | None | $933.25 | $1,513.56 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $26,302.68 | Facility | None | $831.76 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $6,760.83 | Professional | None | $977.24 | $1,230.27 | $6,760.83 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,479.11 | Professional | None | $912.01 | $1,047.13 | $1,479.11 |
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 $457.09 Median $562.34 Typical High $707.95 | Professional | 52 · Reduced service | $457.09 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $181.97 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $851.14 Typical High $1,047.13 | Professional | 54 · Surgery only | $676.08 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | 55 · Aftercare only | $134.90 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 56 · Pre-op care only | $91.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $794.33 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $630.96 | $794.33 | $977.24 |
Where Kansas sits
The same service costs 4.2 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 $12,508MT $2,994
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.