How much rates vary
Facilitymedian $955 · 10th to 90th $295 to $4,365Professionalmedian $575 · 10th to 90th $427 to $3,020
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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | None | $416.87 | $512.86 | $630.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $1,047.13 | Facility | None | $295.12 | $309.03 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $446.68 Median $575.44 Typical High $645.65 | Professional | None | $446.68 | $575.44 | $645.65 |
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 $478.63 Median $588.84 Typical High $3,019.95 | Professional | None | $478.63 | $588.84 | $3,019.95 |
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 $416.87 Median $489.78 Typical High $691.83 | Professional | None | $416.87 | $489.78 | $691.83 |
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 $309.03 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $309.03 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $363.08 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $288.40 | $363.08 | $446.68 |
Where Kansas sits
The same service costs 5.1 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 $6,741MT $1,322
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.