How much rates vary
Facilitymedian $1,349 · 10th to 90th $912 to $5,129Professionalmedian $589 · 10th to 90th $447 to $1,820
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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $758.58 | Professional | None | $467.74 | $602.56 | $758.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,348.96 | Facility | None | $1,148.15 | $1,288.25 | $1,348.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,949.84 Typical High $2,041.74 | Facility | None | $562.34 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $933.25 | Professional | None | $446.68 | $602.56 | $933.25 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,737.80 Typical High $16,218.10 | Facility | None | $616.60 | $1,737.80 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $3,467.37 | Professional | None | $446.68 | $575.44 | $3,467.37 |
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 $446.68 Median $562.34 Typical High $870.96 | Professional | None | $446.68 | $562.34 | $870.96 |
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 $234.42 Median $302.00 Typical High $371.54 | Professional | 52 · Reduced service | $234.42 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $93.33 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $457.09 Typical High $562.34 | Professional | 54 · Surgery only | $346.74 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $69.18 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $60.26 Typical High $74.13 | Professional | 56 · Pre-op care only | $46.77 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $426.58 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $323.59 | $426.58 | $524.81 |
Where Kansas sits
The same service costs 3.6 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 $5,175MT $1,450
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.