How much rates vary
Facilitymedian $2,512 · 10th to 90th $708 to $9,333Professionalmedian $537 · 10th to 90th $380 to $1,660
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $676.08 | Professional | None | $416.87 | $575.44 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,398.83 Typical High $2,570.40 | Facility | None | $380.19 | $2,398.83 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $741.31 | Professional | None | $346.74 | $512.86 | $741.31 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,884.03 Typical High $12,022.64 | Facility | None | $676.08 | $2,884.03 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $3,388.44 | Professional | None | $371.54 | $426.58 | $3,388.44 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $776.25 | Professional | None | $371.54 | $426.58 | $776.25 |
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 $229.09 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $229.09 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $91.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $346.74 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $69.18 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $45.71 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $398.11 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $323.59 | $398.11 | $478.63 |
Where Kansas sits
The same service costs 5.9 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 $6,847MT $1,164
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.