How much rates vary
Facilitymedian $2,570 · 10th to 90th $676 to $7,244Professionalmedian $603 · 10th to 90th $407 to $2,570
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 $407.38 Median $562.34 Typical High $691.83 | Professional | None | $407.38 | $562.34 | $691.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $3,630.78 Typical High $3,715.35 | Facility | None | $389.05 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $851.14 | Professional | None | $398.11 | $524.81 | $851.14 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,412.54 Typical High $12,022.64 | Facility | None | $588.84 | $1,412.54 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $6,165.95 | Professional | None | $478.63 | $912.01 | $6,165.95 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $758.58 | Professional | None | $398.11 | $478.63 | $758.58 |
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 $204.17 Median $281.84 Typical High $346.74 | Professional | 52 · Reduced service | $204.17 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $112.20 Typical High $138.04 | Professional | 53 · Discontinued | $81.28 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $426.58 Typical High $524.81 | Professional | 54 · Surgery only | $309.03 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $85.11 Typical High $104.71 | Professional | 55 · Aftercare only | $61.66 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $56.23 Typical High $69.18 | Professional | 56 · Pre-op care only | $40.74 | $56.23 | $69.18 |
Where Kansas sits
The same service costs 6.3 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 $7,350MT $1,166
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.