How much rates vary
Facilitymedian $891 · 10th to 90th $724 to $4,898Professionalmedian $479 · 10th to 90th $372 to $2,754
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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $724.44 | Professional | None | $398.11 | $562.34 | $724.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $891.25 | Facility | None | $776.25 | $812.83 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,445.44 Typical High $1,513.56 | Facility | None | $562.34 | $1,445.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $562.34 | Professional | None | $371.54 | $537.03 | $562.34 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,737.80 Typical High $16,218.10 | Facility | None | $602.56 | $1,737.80 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $2,754.23 | Professional | None | $354.81 | $489.78 | $2,754.23 |
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 $338.84 Median $436.52 Typical High $512.86 | Professional | None | $338.84 | $436.52 | $512.86 |
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 $204.17 Median $281.84 Typical High $363.08 | Professional | 52 · Reduced service | $204.17 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $112.20 Typical High $144.54 | Professional | 53 · Discontinued | $81.28 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $426.58 Typical High $537.03 | Professional | 54 · Surgery only | $309.03 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $85.11 Typical High $107.15 | Professional | 55 · Aftercare only | $61.66 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $56.23 Typical High $72.44 | Professional | 56 · Pre-op care only | $40.74 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $398.11 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $288.40 | $398.11 | $501.19 |
Where Kansas sits
The same service costs 4.5 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 $4,914MT $1,099
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.