How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,549 to $17,378Professionalmedian $1,230 · 10th to 90th $891 to $3,631
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 $1,949.84 Median $6,309.57 Typical High $12,589.25 | Facility | None | $1,949.84 | $6,309.57 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,380.38 | Professional | None | $851.14 | $1,047.13 | $1,380.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $16,595.87 Typical High $17,378.01 | Facility | None | $3,090.30 | $16,595.87 | $17,378.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $4,168.69 | Facility | None | $1,698.24 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,905.46 | Professional | None | $870.96 | $1,288.25 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,148.15 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $6,760.83 | Professional | None | $954.99 | $1,096.48 | $6,760.83 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,698.24 | Professional | None | $933.25 | $1,000.00 | $1,698.24 |
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 $446.68 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $660.69 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | 55 · Aftercare only | $131.83 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $89.13 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $724.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $616.60 | $724.44 | $912.01 |
Where Kansas sits
The same service costs 4.2 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 $11,551MT $2,762
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.