How much rates vary
Facilitymedian $1,445 · 10th to 90th $575 to $5,754Professionalmedian $355 · 10th to 90th $269 to $1,905
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 $288.40 Median $398.11 Typical High $501.19 | Professional | None | $288.40 | $398.11 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $1,479.11 | Facility | None | $389.05 | $1,445.44 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $446.68 | Professional | None | $269.15 | $389.05 | $446.68 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,698.24 Typical High $12,022.64 | Facility | None | $457.09 | $1,698.24 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $1,905.46 | Professional | None | $275.42 | $354.81 | $1,905.46 |
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 $269.15 Median $316.23 Typical High $363.08 | Professional | None | $269.15 | $316.23 | $363.08 |
5 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 $144.54 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $144.54 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $79.43 Typical High $100.00 | Professional | 53 · Discontinued | $57.54 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $295.12 Typical High $380.19 | Professional | 54 · Surgery only | $213.80 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $58.88 Typical High $75.86 | Professional | 55 · Aftercare only | $42.66 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $39.81 Typical High $50.12 | Professional | 56 · Pre-op care only | $28.84 | $39.81 | $50.12 |
Where Kansas sits
The same service costs 6.4 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 $4,783MT $743
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.