How much rates vary
Facilitymedian $2,138 · 10th to 90th $589 to $5,754Professionalmedian $741 · 10th to 90th $234 to $1,318
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 $1,778.28 Median $5,754.40 Typical High $10,715.19 | Facility | None | $1,778.28 | $5,754.40 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $562.34 Typical High $954.99 | Professional | None | $229.09 | $562.34 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,137.96 | $2,137.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,000.00 | Professional | None | $316.23 | $316.23 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,023.29 Typical High $2,570.40 | Facility | None | $389.05 | $1,023.29 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $630.96 Typical High $1,174.90 | Professional | None | $199.53 | $630.96 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,122.02 Typical High $6,309.57 | Facility | None | $54.95 | $1,122.02 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $5,011.87 | Professional | None | $707.95 | $977.24 | $5,011.87 |
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 $218.78 Median $562.34 Typical High $1,000.00 | Professional | None | $218.78 | $562.34 | $1,000.00 |
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 $114.82 Median $275.42 Typical High $478.63 | Professional | 52 · Reduced service | $114.82 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $112.20 Typical High $190.55 | Professional | 53 · Discontinued | $45.71 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $416.87 Typical High $724.44 | Professional | 54 · Surgery only | $173.78 | $416.87 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $83.18 Typical High $144.54 | Professional | 55 · Aftercare only | $34.67 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $56.23 Typical High $95.50 | Professional | 56 · Pre-op care only | $22.91 | $56.23 | $95.50 |
Where Kansas sits
The same service costs 6.9 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 $7,377MT $1,063
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.