How much rates vary
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 $389.05 Median $3,548.13 Typical High $7,943.28 | Facility | None | $389.05 | $3,548.13 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $354.81 | Professional | None | $158.49 | $251.19 | $354.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $1,905.46 Typical High $2,041.74 | Facility | None | $645.65 | $1,905.46 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | None | $239.88 | $239.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,047.13 | Facility | None | $524.81 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $398.11 | Professional | None | $199.53 | $288.40 | $398.11 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $891.25 Typical High $16,218.10 | Facility | None | $288.40 | $891.25 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $1,949.84 | Professional | None | $275.42 | $316.23 | $1,949.84 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | None | $190.55 | $275.42 | $407.38 |
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 $79.43 Median $125.89 Typical High $177.83 | Professional | 52 · Reduced service | $79.43 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $50.12 Typical High $70.79 | Professional | 53 · Discontinued | $31.62 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $186.21 Typical High $269.15 | Professional | 54 · Surgery only | $120.23 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $37.15 Typical High $53.70 | Professional | 55 · Aftercare only | $23.99 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $25.12 Typical High $35.48 | Professional | 56 · Pre-op care only | $15.85 | $25.12 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $173.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $112.20 | $173.78 | $251.19 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Utah. 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.
Kansas· 13th of 51
$355
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.