How much rates vary
Facilitymedian $3,631 · 10th to 90th $759 to $5,623Professionalmedian $537 · 10th to 90th $347 to $2,291
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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $676.08 | Professional | None | $302.00 | $457.09 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,412.54 Median $3,890.45 Typical High $4,073.80 | Facility | None | $1,412.54 | $3,890.45 | $4,073.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $707.95 | Professional | None | $537.03 | $537.03 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $2,290.87 | Facility | None | $741.31 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $660.69 | Professional | None | $323.59 | $512.86 | $660.69 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,412.54 Typical High $26,302.68 | Facility | None | $549.54 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $2,290.87 Typical High $3,311.31 | Professional | None | $467.74 | $2,290.87 | $3,311.31 |
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 $338.84 Median $446.68 Typical High $660.69 | Professional | None | $338.84 | $446.68 | $660.69 |
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 $151.36 Median $234.42 Typical High $338.84 | Professional | 52 · Reduced service | $151.36 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $134.90 | Professional | 53 · Discontinued | $60.26 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $354.81 Typical High $512.86 | Professional | 54 · Surgery only | $223.87 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $70.79 Typical High $102.33 | Professional | 55 · Aftercare only | $44.67 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $46.77 Typical High $67.61 | Professional | 56 · Pre-op care only | $30.20 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $331.13 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $208.93 | $331.13 | $478.63 |
Where Kansas sits
The same service costs 5.7 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 $6,346MT $1,110
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.