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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $891.25 | Professional | None | $575.44 | $724.44 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,454.71 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,630.27 | $2,630.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,019.95 Typical High $3,162.28 | Facility | None | $562.34 | $3,019.95 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $891.25 | Professional | None | $602.56 | $812.83 | $891.25 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,398.83 Typical High $16,218.10 | Facility | None | $691.83 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $4,265.80 | Professional | None | $575.44 | $741.31 | $4,265.80 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $912.01 | Professional | None | $562.34 | $660.69 | $912.01 |
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 $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $288.40 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $114.82 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $537.03 Typical High $660.69 | Professional | 54 · Surgery only | $436.52 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $72.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $57.54 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $501.19 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $407.38 | $501.19 | $616.60 |
Where Kansas sits
The same service costs 7.9 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· 21st 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.