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 $676.08 Median $4,677.35 Typical High $9,549.93 | Facility | None | $676.08 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $660.69 | Professional | None | $323.59 | $501.19 | $660.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $616.60 | Facility | None | $363.08 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $575.44 Typical High $831.76 | Professional | None | $426.58 | $575.44 | $831.76 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $645.65 Typical High $2,089.30 | Facility | None | $54.95 | $645.65 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $3,630.78 | Professional | None | $549.54 | $676.08 | $3,630.78 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $812.83 | Professional | None | $398.11 | $549.54 | $812.83 |
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 $162.18 Median $251.19 Typical High $331.13 | Professional | 52 · Reduced service | $162.18 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $102.33 Typical High $131.83 | Professional | 53 · Discontinued | $64.57 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $380.19 Typical High $489.78 | Professional | 54 · Surgery only | $239.88 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $75.86 Typical High $97.72 | Professional | 55 · Aftercare only | $47.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $50.12 Typical High $66.07 | Professional | 56 · Pre-op care only | $32.36 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $354.81 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $223.87 | $354.81 | $457.09 |
Where Kansas sits
The same service costs 5.1 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· 25th of 51
$550
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.