How much rates vary
Facilitymedian $2,692 · 10th to 90th $912 to $5,012Professionalmedian $372 · 10th to 90th $251 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 $1,023.29 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $407.38 | Professional | None | $251.19 | $323.59 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $2,691.53 Typical High $2,818.38 | Facility | None | $1,380.38 | $2,691.53 | $2,818.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,089.30 Typical High $2,290.87 | Facility | None | $524.81 | $2,089.30 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $524.81 | Professional | None | $245.47 | $346.74 | $524.81 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,698.24 Typical High $16,218.10 | Facility | None | $446.68 | $1,698.24 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $2,818.38 | Professional | None | $269.15 | $323.59 | $2,818.38 |
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 $257.04 Median $316.23 Typical High $457.09 | Professional | None | $257.04 | $316.23 | $457.09 |
5 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 $125.89 Median $162.18 Typical High $199.53 | Professional | 52 · Reduced service | $125.89 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $66.07 Typical High $81.28 | Professional | 53 · Discontinued | $50.12 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $186.21 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $48.98 Typical High $60.26 | Professional | 55 · Aftercare only | $38.02 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $32.36 Typical High $40.74 | Professional | 56 · Pre-op care only | $25.12 | $32.36 | $40.74 |
Where Kansas sits
The same service costs 8.5 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 $6,252MT $735
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.