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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,071.52 | Professional | None | $562.34 | $812.83 | $1,071.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,230.27 | $2,187.76 | $2,290.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None | $912.01 | $912.01 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,548.82 | Facility | None | $645.65 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,202.26 | Professional | None | $676.08 | $812.83 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,122.02 Typical High $26,302.68 | Facility | None | $549.54 | $1,122.02 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $5,888.44 | Professional | None | $812.83 | $933.25 | $5,888.44 |
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 $676.08 Median $812.83 Typical High $1,258.93 | Professional | None | $676.08 | $812.83 | $1,258.93 |
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 $281.84 Median $416.87 Typical High $537.03 | Professional | 52 · Reduced service | $281.84 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $112.20 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $630.96 Typical High $794.33 | Professional | 54 · Surgery only | $426.58 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $125.89 Typical High $158.49 | Professional | 55 · Aftercare only | $85.11 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $85.11 Typical High $107.15 | Professional | 56 · Pre-op care only | $56.23 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $588.84 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $398.11 | $588.84 | $741.31 |
Where Kansas sits
The same service costs 4.5 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· 12th of 51
$1,072
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.