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 $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 $245.47 Median $380.19 Typical High $524.81 | Professional | None | $245.47 | $380.19 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,318.26 | Facility | None | $851.14 | $1,258.93 | $1,318.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
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 $295.12 Median $398.11 Typical High $588.84 | Professional | None | $295.12 | $398.11 | $588.84 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $16,218.10 | Facility | None | $446.68 | $954.99 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $2,884.03 | Professional | None | $389.05 | $457.09 | $2,884.03 |
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 $295.12 Median $398.11 Typical High $602.56 | Professional | None | $295.12 | $398.11 | $602.56 |
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 $123.03 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $123.03 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $48.98 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $288.40 Typical High $389.05 | Professional | 54 · Surgery only | $181.97 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $57.54 Typical High $77.62 | Professional | 55 · Aftercare only | $36.31 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $38.02 Typical High $52.48 | Professional | 56 · Pre-op care only | $24.55 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $269.15 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $169.82 | $269.15 | $363.08 |
Where Kansas sits
The same service costs 3.9 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· 9th of 51
$562
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.