How much rates vary
Facilitymedian $851 · 10th to 90th $708 to $4,677Professionalmedian $490 · 10th to 90th $363 to $4,169
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 $371.54 Median $467.74 Typical High $602.56 | Professional | None | $371.54 | $467.74 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $851.14 | Facility | None | $776.25 | $812.83 | $851.14 |
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 $389.05 Median $1,258.93 Typical High $1,288.25 | Facility | None | $389.05 | $1,258.93 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $602.56 | Professional | None | $363.08 | $602.56 | $602.56 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,737.80 Typical High $12,022.64 | Facility | None | $588.84 | $1,737.80 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $4,168.69 | Professional | None | $354.81 | $446.68 | $4,168.69 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $575.44 | Professional | None | $346.74 | $426.58 | $575.44 |
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 $186.21 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $346.74 Typical High $446.68 | Professional | 54 · Surgery only | $281.84 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $91.20 | Professional | 55 · Aftercare only | $56.23 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $46.77 Typical High $60.26 | Professional | 56 · Pre-op care only | $37.15 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $323.59 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $263.03 | $323.59 | $416.87 |
Where Kansas sits
The same service costs 4.0 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 $4,866MT $1,221
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.