How much rates vary
Facilitymedian $891 · 10th to 90th $646 to $4,786Professionalmedian $363 · 10th to 90th $204 to $1,349
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 $204.17 Median $354.81 Typical High $630.96 | Professional | None | $204.17 | $354.81 | $630.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Facility | None | $851.14 | $891.25 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None | $263.03 | $263.03 | $436.52 |
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 $186.21 Median $316.23 Typical High $478.63 | Professional | None | $186.21 | $316.23 | $478.63 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $1,348.96 Typical High $16,218.10 | Facility | None | $302.00 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,348.96 Typical High $2,454.71 | Professional | None | $346.74 | $1,348.96 | $2,454.71 |
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 $190.55 Median $316.23 Typical High $426.58 | Professional | None | $190.55 | $316.23 | $426.58 |
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 $102.33 Median $177.83 Typical High $316.23 | Professional | 52 · Reduced service | $102.33 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $70.79 Typical High $125.89 | Professional | 53 · Discontinued | $40.74 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $269.15 Typical High $467.74 | Professional | 54 · Surgery only | $151.36 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $53.70 Typical High $93.33 | Professional | 55 · Aftercare only | $30.90 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $35.48 Typical High $63.10 | Professional | 56 · Pre-op care only | $20.42 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $251.19 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $141.25 | $251.19 | $436.52 |
Where Kansas sits
The same service costs 6.3 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 $4,654MT $736
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.