How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,660 to $12,882Professionalmedian $1,202 · 10th to 90th $832 to $2,344
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 $2,041.74 Median $6,456.54 Typical High $10,964.78 | Facility | None | $2,041.74 | $6,456.54 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,202.26 | Professional | None | $812.83 | $954.99 | $1,202.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,981.07 Median $12,302.69 Typical High $12,882.50 | Facility | None | $3,981.07 | $12,302.69 | $12,882.50 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $6,760.83 Typical High $7,079.46 | Facility | None | $1,698.24 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,041.74 | Professional | None | $812.83 | $1,258.93 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $3,981.07 Typical High $12,589.25 | Facility | None | $1,023.29 | $3,981.07 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $8,317.64 | Professional | None | $912.01 | $1,122.02 | $8,317.64 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,548.82 | Professional | None | $870.96 | $954.99 | $1,548.82 |
2 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 54 · Surgery only Typical Low $616.60 Median $724.44 Typical High $891.25 | Professional | 54 · Surgery only | $616.60 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $676.08 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $575.44 | $676.08 | $831.76 |
Where Kansas sits
The same service costs 6.1 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 $15,685MT $2,577
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.