How much rates vary
Facilitymedian $1,413 · 10th to 90th $562 to $3,802Professionalmedian $339 · 10th to 90th $209 to $2,138
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 $3,467.37 Typical High $7,943.28 | Facility | None | $1,174.90 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $331.13 | Professional | None | $204.17 | $239.88 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,047.13 | $1,412.54 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,230.27 | Facility | None | $562.34 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $436.52 Typical High $645.65 | Professional | None | $218.78 | $436.52 | $645.65 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $16,218.10 | Facility | None | $446.68 | $1,047.13 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $1,698.24 Typical High $2,137.96 | Professional | None | $239.88 | $1,698.24 | $2,137.96 |
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 $208.93 Median $245.47 Typical High $407.38 | Professional | None | $208.93 | $245.47 | $407.38 |
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 $102.33 Median $120.23 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $66.07 | Professional | 53 · Discontinued | $40.74 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $177.83 Typical High $245.47 | Professional | 54 · Surgery only | $154.88 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $35.48 Typical High $48.98 | Professional | 55 · Aftercare only | $30.90 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $23.99 Typical High $33.11 | Professional | 56 · Pre-op care only | $20.42 | $23.99 | $33.11 |
Where Kansas sits
The same service costs 6.8 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 $4,179MT $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.