How much rates vary
Facilitymedian $912 · 10th to 90th $537 to $3,631Professionalmedian $417 · 10th to 90th $148 to $1,445
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 $2,754.23 Typical High $7,943.28 | Facility | None | $1,023.29 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $354.81 Typical High $616.60 | Professional | None | $138.04 | $354.81 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $912.01 | Facility | None | $724.44 | $870.96 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $691.83 | Professional | None | $234.42 | $234.42 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $1,230.27 | Facility | None | $389.05 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $354.81 Typical High $512.86 | Professional | None | $144.54 | $354.81 | $512.86 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $1,000.00 Typical High $12,022.64 | Facility | None | $251.19 | $1,000.00 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,445.44 Typical High $2,818.38 | Professional | None | $275.42 | $1,445.44 | $2,818.38 |
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 $147.91 Median $213.80 Typical High $446.68 | Professional | None | $147.91 | $213.80 | $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 $67.61 Median $131.83 Typical High $309.03 | Professional | 52 · Reduced service | $67.61 | $131.83 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $52.48 Typical High $123.03 | Professional | 53 · Discontinued | $27.54 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $194.98 Typical High $467.74 | Professional | 54 · Surgery only | $102.33 | $194.98 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $38.90 Typical High $93.33 | Professional | 55 · Aftercare only | $20.42 | $38.90 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $26.30 Typical High $61.66 | Professional | 56 · Pre-op care only | $13.80 | $26.30 | $61.66 |
Where Kansas sits
The same service costs 5.7 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 $4,090MT $722
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.