How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,230 to $15,488Professionalmedian $1,047 · 10th to 90th $724 to $7,244
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 $3,890.45 Typical High $8,912.51 | Facility | None | $1,202.26 | $3,890.45 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,096.48 | Professional | None | $724.44 | $891.25 | $1,096.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,623.41 Median $14,791.08 Typical High $15,488.17 | Facility | None | $5,623.41 | $14,791.08 | $15,488.17 |
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 $645.65 Median $5,888.44 Typical High $6,606.93 | Facility | None | $645.65 | $5,888.44 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $776.25 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $3,715.35 Typical High $26,302.68 | Facility | None | $954.99 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $7,244.36 | Professional | None | $776.25 | $954.99 | $7,244.36 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,715.35 Typical High $12,302.69 | Facility | None | $933.25 | $3,715.35 | $12,302.69 |
United Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,174.90 | Professional | None | $724.44 | $831.76 | $1,174.90 |
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 $363.08 Median $446.68 Typical High $549.54 | Professional | 52 · Reduced service | $363.08 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $177.83 Typical High $223.87 | Professional | 53 · Discontinued | $144.54 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $676.08 Typical High $831.76 | Professional | 54 · Surgery only | $537.03 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $89.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $72.44 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $630.96 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $501.19 | $630.96 | $776.25 |
Where Kansas sits
The same service costs 6.1 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 $13,882MT $2,270
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.