How much rates vary
Facilitymedian $1,000 · 10th to 90th $692 to $4,898Professionalmedian $617 · 10th to 90th $447 to $2,884
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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $794.33 | Professional | None | $389.05 | $602.56 | $794.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,047.13 | Facility | None | $776.25 | $812.83 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,659.59 Typical High $1,698.24 | Facility | None | $562.34 | $1,659.59 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $794.33 | Professional | None | $416.87 | $616.60 | $794.33 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,412.54 Typical High $16,218.10 | Facility | None | $616.60 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $2,884.03 Typical High $4,677.35 | Professional | None | $562.34 | $2,884.03 | $4,677.35 |
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 $426.58 Median $562.34 Typical High $812.83 | Professional | None | $426.58 | $562.34 | $812.83 |
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 $194.98 Median $302.00 Typical High $398.11 | Professional | 52 · Reduced service | $194.98 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $120.23 Typical High $158.49 | Professional | 53 · Discontinued | $77.62 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $457.09 Typical High $602.56 | Professional | 54 · Surgery only | $295.12 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $91.20 Typical High $120.23 | Professional | 55 · Aftercare only | $58.88 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $60.26 Typical High $79.43 | Professional | 56 · Pre-op care only | $38.90 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $426.58 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $275.42 | $426.58 | $562.34 |
Where Kansas sits
The same service costs 4.7 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 $6,464MT $1,390
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.