How much rates vary
Facilitymedian $3,467 · 10th to 90th $955 to $5,129Professionalmedian $851 · 10th to 90th $234 to $2,884
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 $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $724.44 Typical High $1,174.90 | Professional | None | $234.42 | $724.44 | $1,174.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $4,265.80 | Facility | None | $1,949.84 | $4,073.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,737.80 | Professional | None | $524.81 | $524.81 | $1,737.80 |
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 $229.09 Median $776.25 Typical High $2,187.76 | Professional | None | $229.09 | $776.25 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,412.54 Typical High $16,218.10 | Facility | None | $323.59 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,778.28 Typical High $8,317.64 | Professional | None | $831.76 | $1,778.28 | $8,317.64 |
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 $204.17 Median $707.95 Typical High $1,621.81 | Professional | None | $204.17 | $707.95 | $1,621.81 |
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 $117.49 Median $346.74 Typical High $588.84 | Professional | 52 · Reduced service | $117.49 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $138.04 Typical High $234.42 | Professional | 53 · Discontinued | $46.77 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $512.86 Typical High $891.25 | Professional | 54 · Surgery only | $177.83 | $512.86 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $102.33 Typical High $177.83 | Professional | 55 · Aftercare only | $35.48 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $69.18 Typical High $117.49 | Professional | 56 · Pre-op care only | $23.44 | $69.18 | $117.49 |
Where Kansas sits
The same service costs 3.8 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 $5,124MT $1,344
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.