How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,072 to $8,913Professionalmedian $891 · 10th to 90th $661 to $4,677
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 $4,677.35 Typical High $10,964.78 | Facility | None | $1,949.84 | $4,677.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,047.13 | Professional | None | $676.08 | $758.58 | $1,047.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $6,165.95 Median $6,918.31 Typical High $7,244.36 | Facility | None | $6,165.95 | $6,918.31 | $7,244.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,981.07 Typical High $4,168.69 | Facility | None | $794.33 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,174.90 | Professional | None | $676.08 | $912.01 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,951.21 Typical High $10,232.93 | Facility | None | $870.96 | $2,951.21 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,318.26 Typical High $4,677.35 | Professional | None | $660.69 | $1,318.26 | $4,677.35 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,096.48 | Professional | None | $645.65 | $776.25 | $1,096.48 |
6 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 $338.84 Median $380.19 Typical High $524.81 | Professional | 52 · Reduced service | $338.84 | $380.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | 53 · Discontinued | $134.90 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $575.44 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $575.44 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $114.82 Typical High $158.49 | Professional | 55 · Aftercare only | $102.33 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $75.86 Typical High $104.71 | Professional | 56 · Pre-op care only | $67.61 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $537.03 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $537.03 | $741.31 |
Where Kansas sits
The same service costs 5.4 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 $11,084MT $2,070
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.