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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,047.13 | Professional | None | $660.69 | $831.76 | $1,047.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,168.69 Typical High $4,677.35 | Facility | None | $741.31 | $4,168.69 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $1,202.26 | Professional | None | $707.95 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $26,302.68 | Facility | None | $891.25 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $5,011.87 | Professional | None | $758.58 | $977.24 | $5,011.87 |
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 $676.08 Median $776.25 Typical High $1,148.15 | Professional | None | $676.08 | $776.25 | $1,148.15 |
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 $331.13 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $331.13 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | 53 · Discontinued | $134.90 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $630.96 Typical High $776.25 | Professional | 54 · Surgery only | $501.19 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $125.89 Typical High $154.88 | Professional | 55 · Aftercare only | $100.00 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $66.07 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $588.84 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $467.74 | $588.84 | $724.44 |
Where Kansas sits
The same service costs 8.1 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· 22nd of 51
$977
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.