How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,175 to $10,000Professionalmedian $741 · 10th to 90th $562 to $4,266
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 $1,174.90 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,174.90 | $4,677.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $891.25 | Professional | None | $537.03 | $707.95 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,168.69 Median $7,585.78 Typical High $7,943.28 | Facility | None | $4,168.69 | $7,585.78 | $7,943.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,754.40 Typical High $6,456.54 | Facility | None | $741.31 | $5,754.40 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $870.96 | Professional | None | $588.84 | $758.58 | $870.96 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $26,302.68 | Facility | None | $831.76 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $4,265.80 | Professional | None | $562.34 | $724.44 | $4,265.80 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $891.25 | Professional | None | $537.03 | $645.65 | $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 $281.84 Median $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $281.84 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $114.82 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $660.69 | Professional | 54 · Surgery only | $426.58 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $131.83 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $89.13 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $616.60 |
Where Kansas sits
The same service costs 7.5 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 $13,659MT $1,825
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.