How much rates vary
Facilitymedian $1,445 · 10th to 90th $794 to $4,898Professionalmedian $562 · 10th to 90th $380 to $2,455
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 $331.13 Median $524.81 Typical High $741.31 | Professional | None | $331.13 | $524.81 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,412.54 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $676.08 | Professional | None | $457.09 | $457.09 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,238.72 | Facility | None | $524.81 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $724.44 | Professional | None | $346.74 | $562.34 | $724.44 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,412.54 Typical High $16,218.10 | Facility | None | $575.44 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $2,454.71 Typical High $3,630.78 | Professional | None | $489.78 | $2,454.71 | $3,630.78 |
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 $371.54 Median $489.78 Typical High $724.44 | Professional | None | $371.54 | $489.78 | $724.44 |
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 $165.96 Median $257.04 Typical High $371.54 | Professional | 52 · Reduced service | $165.96 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $104.71 Typical High $151.36 | Professional | 53 · Discontinued | $66.07 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $389.05 Typical High $562.34 | Professional | 54 · Surgery only | $251.19 | $389.05 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $77.62 Typical High $112.20 | Professional | 55 · Aftercare only | $50.12 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $52.48 Typical High $74.13 | Professional | 56 · Pre-op care only | $33.11 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $363.08 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $234.42 | $363.08 | $524.81 |
Where Kansas sits
The same service costs 5.3 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 $6,378MT $1,213
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.