How much rates vary
Facilitymedian $1,000 · 10th to 90th $513 to $4,898Professionalmedian $676 · 10th to 90th $468 to $3,090
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 $416.87 Median $645.65 Typical High $891.25 | Professional | None | $416.87 | $645.65 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $1,047.13 | Facility | None | $512.86 | $537.03 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $794.33 | Professional | None | $575.44 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,513.56 Typical High $1,698.24 | Facility | None | $524.81 | $1,513.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Professional | None | $436.52 | $676.08 | $870.96 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $16,218.10 | Facility | None | $660.69 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $3,090.30 Typical High $4,365.16 | Professional | None | $602.56 | $3,090.30 | $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 $446.68 Median $588.84 Typical High $870.96 | Professional | None | $446.68 | $588.84 | $870.96 |
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 $208.93 Median $323.59 Typical High $446.68 | Professional | 52 · Reduced service | $208.93 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $128.82 Typical High $177.83 | Professional | 53 · Discontinued | $83.18 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $489.78 Typical High $676.08 | Professional | 54 · Surgery only | $316.23 | $489.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $97.72 Typical High $134.90 | Professional | 55 · Aftercare only | $63.10 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $64.57 Typical High $89.13 | Professional | 56 · Pre-op care only | $41.69 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $457.09 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $295.12 | $457.09 | $630.96 |
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 $6,491MT $1,489
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.