How much rates vary
Facilitymedian $1,479 · 10th to 90th $891 to $4,677Professionalmedian $288 · 10th to 90th $234 to $1,778
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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $389.05 | Professional | None | $239.88 | $331.13 | $389.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,479.11 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,137.96 Typical High $2,344.23 | Facility | None | $380.19 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $426.58 | Professional | None | $199.53 | $302.00 | $426.58 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,698.24 Typical High $12,022.64 | Facility | None | $398.11 | $1,698.24 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $1,778.28 | Professional | None | $223.87 | $251.19 | $1,778.28 |
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 $213.80 Median $245.47 Typical High $446.68 | Professional | None | $213.80 | $245.47 | $446.68 |
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 $131.83 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $131.83 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $52.48 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $245.47 Typical High $295.12 | Professional | 54 · Surgery only | $199.53 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $48.98 Typical High $58.88 | Professional | 55 · Aftercare only | $39.81 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.30 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $229.09 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $186.21 | $229.09 | $275.42 |
Where Kansas sits
The same service costs 9.6 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 $6,197MT $647
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.