How much rates vary
Facilitymedian $1,318 · 10th to 90th $891 to $6,310Professionalmedian $933 · 10th to 90th $251 to $1,698
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 $1,288.25 Median $3,715.35 Typical High $8,317.64 | Facility | None | $1,288.25 | $3,715.35 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $724.44 Typical High $1,230.27 | Professional | None | $234.42 | $724.44 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,905.46 | Facility | None | $1,258.93 | $1,318.26 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $1,148.15 | Professional | None | $457.09 | $457.09 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,570.40 Typical High $2,818.38 | Facility | None | $524.81 | $2,570.40 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $794.33 Typical High $1,288.25 | Professional | None | $199.53 | $794.33 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,862.09 Typical High $16,218.10 | Facility | None | $363.08 | $1,862.09 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $5,623.41 | Professional | None | $870.96 | $1,230.27 | $5,623.41 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,456.54 | Facility | None | $691.83 | $2,187.76 | $6,456.54 |
United Setting Professional Modifier None Typical Low $229.09 Median $724.44 Typical High $1,258.93 | Professional | None | $229.09 | $724.44 | $1,258.93 |
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 $117.49 Median $363.08 Typical High $616.60 | Professional | 52 · Reduced service | $117.49 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $144.54 Typical High $245.47 | Professional | 53 · Discontinued | $46.77 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $537.03 Typical High $933.25 | Professional | 54 · Surgery only | $173.78 | $537.03 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $107.15 Typical High $186.21 | Professional | 55 · Aftercare only | $35.48 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $72.44 Typical High $123.03 | Professional | 56 · Pre-op care only | $23.44 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $501.19 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $162.18 | $501.19 | $870.96 |
Where Kansas sits
The same service costs 5.1 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 $7,315MT $1,443
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.