How much rates vary
Facilitymedian $692 · 10th to 90th $355 to $3,802Professionalmedian $269 · 10th to 90th $204 to $1,349
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $331.13 | Professional | None | $204.17 | $269.15 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $1,148.15 | Facility | None | $354.81 | $371.54 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,949.84 Typical High $1,995.26 | Facility | None | $389.05 | $1,949.84 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $426.58 | Professional | None | $204.17 | $295.12 | $426.58 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,047.13 Typical High $12,022.64 | Facility | None | $338.84 | $1,047.13 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $1,862.09 | Professional | None | $213.80 | $263.03 | $1,862.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | None | $204.17 | $257.04 | $389.05 |
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 $102.33 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $102.33 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $204.17 Typical High $251.19 | Professional | 54 · Surgery only | $154.88 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $40.74 Typical High $50.12 | Professional | 55 · Aftercare only | $30.90 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $20.42 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $190.55 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $144.54 | $190.55 | $234.42 |
Where Kansas sits
The same service costs 7.2 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 $4,681MT $647
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.