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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $954.99 | Professional | None | $363.08 | $575.44 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,311.31 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,174.90 | Professional | None | $616.60 | $616.60 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,981.07 Typical High $4,073.80 | Facility | None | $562.34 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $1,584.89 | Professional | None | $426.58 | $741.31 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,238.72 Typical High $16,218.10 | Facility | None | $691.83 | $2,238.72 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,691.53 Typical High $4,570.88 | Professional | None | $741.31 | $2,691.53 | $4,570.88 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $954.99 | Professional | None | $416.87 | $660.69 | $954.99 |
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 $281.84 Typical High $478.63 | Professional | 52 · Reduced service | $181.97 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $114.82 Typical High $190.55 | Professional | 53 · Discontinued | $72.44 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $426.58 Typical High $724.44 | Professional | 54 · Surgery only | $269.15 | $426.58 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $85.11 Typical High $144.54 | Professional | 55 · Aftercare only | $54.95 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $57.54 Typical High $95.50 | Professional | 56 · Pre-op care only | $36.31 | $57.54 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $398.11 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $251.19 | $398.11 | $676.08 |
Where Kansas sits
The same service costs 4.9 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· 8th of 51
$955
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.