How much rates vary
Facilitymedian $3,631 · 10th to 90th $851 to $5,754Professionalmedian $692 · 10th to 90th $457 to $2,951
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 $1,949.84 Median $6,918.31 Typical High $13,803.84 | Facility | None | $1,949.84 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $891.25 | Professional | None | $407.38 | $630.96 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $4,466.84 Typical High $4,786.30 | Facility | None | $1,445.44 | $4,466.84 | $4,786.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $812.83 | Professional | None | $524.81 | $524.81 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,122.02 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $912.01 | Professional | None | $426.58 | $691.83 | $912.01 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $26,302.68 | Facility | None | $676.08 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $2,951.21 Typical High $4,365.16 | Professional | None | $660.69 | $2,951.21 | $4,365.16 |
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 $436.52 Median $616.60 Typical High $891.25 | Professional | None | $436.52 | $616.60 | $891.25 |
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 $204.17 Median $316.23 Typical High $446.68 | Professional | 52 · Reduced service | $204.17 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $125.89 Typical High $181.97 | Professional | 53 · Discontinued | $81.28 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $467.74 Typical High $676.08 | Professional | 54 · Surgery only | $309.03 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $93.33 Typical High $134.90 | Professional | 55 · Aftercare only | $61.66 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $63.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $40.74 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $436.52 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $288.40 | $436.52 | $630.96 |
Where Kansas sits
The same service costs 4.3 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 $6,505MT $1,512
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.