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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $575.44 | Professional | None | $263.03 | $416.87 | $575.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,258.93 Typical High $1,258.93 | Facility | None | $309.03 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $575.44 | Professional | None | $309.03 | $446.68 | $575.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,630.78 | Facility | None | $54.95 | $1,000.00 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,949.84 Typical High $2,754.23 | Professional | None | $407.38 | $1,949.84 | $2,754.23 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $588.84 | Professional | None | $309.03 | $398.11 | $588.84 |
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 $131.83 Median $204.17 Typical High $288.40 | Professional | 52 · Reduced service | $131.83 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $52.48 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $309.03 Typical High $436.52 | Professional | 54 · Surgery only | $199.53 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $61.66 Typical High $87.10 | Professional | 55 · Aftercare only | $39.81 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $41.69 Typical High $57.54 | Professional | 56 · Pre-op care only | $26.30 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $288.40 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $186.21 | $288.40 | $407.38 |
Where Kansas sits
The same service costs 5.2 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· 19th of 51
$447
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.