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 $794.33 Median $3,630.78 Typical High $7,943.28 | Facility | None | $794.33 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $724.44 | Professional | None | $363.08 | $575.44 | $724.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,412.54 | $1,412.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | None | $512.86 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,949.84 Typical High $2,041.74 | Facility | None | $562.34 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $758.58 | Professional | None | $436.52 | $602.56 | $758.58 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,412.54 Typical High $16,218.10 | Facility | None | $616.60 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $3,090.30 Typical High $3,467.37 | Professional | None | $524.81 | $3,090.30 | $3,467.37 |
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 $426.58 Median $512.86 Typical High $758.58 | Professional | None | $426.58 | $512.86 | $758.58 |
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 $181.97 Median $288.40 Typical High $363.08 | Professional | 52 · Reduced service | $181.97 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $114.82 Typical High $144.54 | Professional | 53 · Discontinued | $72.44 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $537.03 | Professional | 54 · Surgery only | $275.42 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $85.11 Typical High $107.15 | Professional | 55 · Aftercare only | $54.95 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $57.54 Typical High $72.44 | Professional | 56 · Pre-op care only | $36.31 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $398.11 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $257.04 | $398.11 | $501.19 |
Where Kansas sits
The same service costs 6.0 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· 16th of 51
$631
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.