How much rates vary
Facilitymedian $1,000 · 10th to 90th $562 to $3,802Professionalmedian $282 · 10th to 90th $186 to $2,455
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 $186.21 Median $218.78 Typical High $302.00 | Professional | None | $186.21 | $218.78 | $302.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $1,000.00 | Facility | None | $724.44 | $954.99 | $1,000.00 |
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 $524.81 Median $1,096.48 Typical High $1,230.27 | Facility | None | $524.81 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $467.74 | Professional | None | $199.53 | $331.13 | $467.74 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $16,218.10 | Facility | None | $346.74 | $1,023.29 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $380.19 Typical High $2,454.71 | Professional | None | $204.17 | $380.19 | $2,454.71 |
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 $186.21 Median $218.78 Typical High $323.59 | Professional | None | $186.21 | $218.78 | $323.59 |
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 $93.33 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $93.33 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $38.02 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $162.18 Typical High $223.87 | Professional | 54 · Surgery only | $141.25 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $28.18 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $19.05 | $21.88 | $30.20 |
Where Kansas sits
The same service costs 7.3 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 $4,136MT $564
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.