How much rates vary
Facilitymedian $1,862 · 10th to 90th $447 to $3,090Professionalmedian $692 · 10th to 90th $81 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 $912.01 Median $2,754.23 Typical High $7,943.28 | Facility | None | $912.01 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $512.86 Typical High $912.01 | Professional | None | $72.44 | $512.86 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $2,290.87 | Facility | None | $1,047.13 | $2,137.96 | $2,290.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $724.44 | Professional | None | $83.18 | $83.18 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,288.25 | Facility | None | $676.08 | $1,096.48 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $588.84 Typical High $870.96 | Professional | None | $77.62 | $588.84 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $812.83 Typical High $3,311.31 | Facility | None | $54.95 | $812.83 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $2,137.96 Typical High $4,265.80 | Professional | None | $660.69 | $2,137.96 | $4,265.80 |
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 $83.18 Median $489.78 Typical High $776.25 | Professional | None | $83.18 | $489.78 | $776.25 |
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 $36.31 Median $213.80 Typical High $457.09 | Professional | 52 · Reduced service | $36.31 | $213.80 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $85.11 Typical High $181.97 | Professional | 53 · Discontinued | $14.45 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $323.59 Typical High $676.08 | Professional | 54 · Surgery only | $54.95 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $64.57 Typical High $134.90 | Professional | 55 · Aftercare only | $10.96 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $42.66 Typical High $91.20 | Professional | 56 · Pre-op care only | $7.24 | $42.66 | $91.20 |
Where Kansas sits
The same service costs 5.6 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 $4,728MT $843
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.