How much rates vary
Facilitymedian $1,023 · 10th to 90th $437 to $4,571Professionalmedian $347 · 10th to 90th $204 to $3,631
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 $1,949.84 Median $5,128.61 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $346.74 | Professional | None | $190.55 | $223.87 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $2,137.96 | Facility | None | $676.08 | $1,737.80 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $478.63 | Professional | None | $208.93 | $309.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $794.33 Typical High $3,311.31 | Facility | None | $54.95 | $794.33 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $4,073.80 | Professional | None | $204.17 | $354.81 | $4,073.80 |
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 $204.17 Median $234.42 Typical High $446.68 | Professional | None | $204.17 | $234.42 | $446.68 |
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 $95.50 Median $112.20 Typical High $173.78 | Professional | 52 · Reduced service | $95.50 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $69.18 | Professional | 53 · Discontinued | $38.02 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $165.96 Typical High $263.03 | Professional | 54 · Surgery only | $144.54 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.11 Typical High $52.48 | Professional | 55 · Aftercare only | $28.84 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.39 Typical High $34.67 | Professional | 56 · Pre-op care only | $19.05 | $22.39 | $34.67 |
Where Kansas sits
The same service costs 7.6 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 $618
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.