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 $1,096.48 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,096.48 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,047.13 | Professional | None | $524.81 | $831.76 | $1,047.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $1,174.90 | Facility | None | $331.13 | $346.74 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None | $831.76 | $831.76 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,479.11 Typical High $1,548.82 | Facility | None | $562.34 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,148.15 | Professional | None | $630.96 | $776.25 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,122.02 Typical High $16,218.10 | Facility | None | $549.54 | $1,122.02 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $5,754.40 | Professional | None | $758.58 | $912.01 | $5,754.40 |
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 $630.96 Median $776.25 Typical High $1,174.90 | Professional | None | $630.96 | $776.25 | $1,174.90 |
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 $263.03 Median $407.38 Typical High $512.86 | Professional | 52 · Reduced service | $263.03 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $165.96 Typical High $208.93 | Professional | 53 · Discontinued | $104.71 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $398.11 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $123.03 Typical High $154.88 | Professional | 55 · Aftercare only | $79.43 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $52.48 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $371.54 | $575.44 | $724.44 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Texas. 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· 27th of 51
$832
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.