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 $575.44 Median $870.96 Typical High $1,096.48 | Professional | None | $575.44 | $870.96 | $1,096.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $933.25 | Facility | None | $524.81 | $912.01 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,122.02 | Professional | None | $616.60 | $891.25 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $16,218.10 | Facility | None | $562.34 | $1,122.02 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $4,365.16 Typical High $5,248.07 | Professional | None | $676.08 | $4,365.16 | $5,248.07 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,047.13 | Professional | None | $575.44 | $707.95 | $1,047.13 |
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 $288.40 Median $436.52 Typical High $549.54 | Professional | 52 · Reduced service | $288.40 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $114.82 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $660.69 Typical High $812.83 | Professional | 54 · Surgery only | $436.52 | $660.69 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $87.10 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $87.10 Typical High $109.65 | Professional | 56 · Pre-op care only | $57.54 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $616.60 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $407.38 | $616.60 | $758.58 |
Where Kansas sits
The same service costs 5.6 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· 23rd of 51
$851
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.