How much rates vary
Facilitymedian $1,514 · 10th to 90th $661 to $3,802Professionalmedian $741 · 10th to 90th $537 to $3,715
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 $512.86 Median $707.95 Typical High $870.96 | Professional | None | $512.86 | $707.95 | $870.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,513.56 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | None | $741.31 | $741.31 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $1,202.26 | Facility | None | $524.81 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $891.25 | Professional | None | $537.03 | $724.44 | $891.25 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $16,218.10 | Facility | None | $549.54 | $1,000.00 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $3,715.35 Typical High $4,073.80 | Professional | None | $588.84 | $3,715.35 | $4,073.80 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $891.25 | Professional | None | $524.81 | $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 $251.19 Median $346.74 Typical High $436.52 | Professional | 52 · Reduced service | $251.19 | $346.74 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $102.33 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $524.81 Typical High $645.65 | Professional | 54 · Surgery only | $380.19 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $75.86 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $70.79 Typical High $87.10 | Professional | 56 · Pre-op care only | $51.29 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $489.78 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $354.81 | $489.78 | $602.56 |
Where Kansas sits
The same service costs 4.0 times more in Colorado than in Alabama. 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 $5,057AL $1,277
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.