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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $776.25 | Professional | None | $501.19 | $630.96 | $776.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,168.69 | $4,365.16 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $4,168.69 Typical High $4,365.16 | Facility | None | $912.01 | $4,168.69 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $812.83 | Professional | None | $588.84 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $26,302.68 | Facility | None | $741.31 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $5,888.44 | Professional | None | $575.44 | $741.31 | $5,888.44 |
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 $524.81 Median $602.56 Typical High $870.96 | Professional | None | $524.81 | $602.56 | $870.96 |
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 $251.19 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $251.19 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $125.89 Typical High $154.88 | Professional | 53 · Discontinued | $100.00 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $478.63 Typical High $588.84 | Professional | 54 · Surgery only | $371.54 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $95.50 Typical High $117.49 | Professional | 55 · Aftercare only | $74.13 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $63.10 Typical High $77.62 | Professional | 56 · Pre-op care only | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $346.74 | $446.68 | $549.54 |
Where Kansas sits
The same service costs 18.2 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· 14th of 51
$871
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.