How much rates vary
Facilitymedian $955 · 10th to 90th $407 to $4,365Professionalmedian $661 · 10th to 90th $490 to $3,467
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 $1,202.26 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,202.26 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $724.44 | Professional | None | $478.63 | $588.84 | $724.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $1,047.13 | Facility | None | $407.38 | $426.58 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,202.26 | $1,659.59 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $724.44 | Professional | None | $512.86 | $660.69 | $724.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,148.15 Typical High $5,128.61 | Facility | None | $54.95 | $1,148.15 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $3,467.37 | Professional | None | $537.03 | $660.69 | $3,467.37 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $776.25 | Professional | None | $478.63 | $549.54 | $776.25 |
2 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 54 · Surgery only Typical Low $354.81 Median $436.52 Typical High $549.54 | Professional | 54 · Surgery only | $354.81 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $407.38 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $331.13 | $407.38 | $512.86 |
Where Kansas sits
The same service costs 4.4 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 $6,812MT $1,536
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.