How much rates vary
Facilitymedian $3,467 · 10th to 90th $933 to $5,129Professionalmedian $813 · 10th to 90th $214 to $2,754
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 $1,122.02 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,122.02 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $660.69 Typical High $1,122.02 | Professional | None | $204.17 | $660.69 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $4,265.80 | Facility | None | $3,311.31 | $4,073.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,621.81 | Professional | None | $436.52 | $436.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,137.96 Typical High $2,344.23 | Facility | None | $524.81 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $707.95 Typical High $2,344.23 | Professional | None | $199.53 | $707.95 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,412.54 Typical High $16,218.10 | Facility | None | $398.11 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,862.09 Typical High $8,709.64 | Professional | None | $794.33 | $1,862.09 | $8,709.64 |
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 $199.53 Median $676.08 Typical High $1,548.82 | Professional | None | $199.53 | $676.08 | $1,548.82 |
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 $331.13 Typical High $562.34 | Professional | 52 · Reduced service | $102.33 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $131.83 Typical High $223.87 | Professional | 53 · Discontinued | $40.74 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $489.78 Typical High $851.14 | Professional | 54 · Surgery only | $151.36 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $97.72 Typical High $169.82 | Professional | 55 · Aftercare only | $30.90 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $66.07 Typical High $112.20 | Professional | 56 · Pre-op care only | $20.42 | $66.07 | $112.20 |
Where Kansas sits
The same service costs 4.0 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 $5,041MT $1,267
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.