How much rates vary
Facilitymedian $1,862 · 10th to 90th $550 to $4,074Professionalmedian $257 · 10th to 90th $178 to $1,549
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 $3,548.13 Typical High $8,317.64 | Facility | None | $1,174.90 | $3,548.13 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $275.42 | Professional | None | $169.82 | $223.87 | $275.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $676.08 Median $1,862.09 Typical High $1,949.84 | Facility | None | $676.08 | $1,862.09 | $1,949.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $1,174.90 | Facility | None | $562.34 | $1,122.02 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $371.54 | Professional | None | $165.96 | $245.47 | $371.54 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $16,218.10 | Facility | None | $316.23 | $1,047.13 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $1,548.82 | Professional | None | $190.55 | $229.09 | $1,548.82 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | None | $181.97 | $223.87 | $323.59 |
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 $85.11 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $125.89 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $25.12 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $22.39 Typical High $27.54 | Professional | 56 · Pre-op care only | $16.98 | $22.39 | $27.54 |
Where Kansas sits
The same service costs 9.2 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 $4,822MT $526
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.