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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | None | $251.19 | $316.23 | $389.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $1,995.26 | Facility | None | $1,023.29 | $1,905.46 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,202.26 | Facility | None | $380.19 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $398.11 | Professional | None | $251.19 | $323.59 | $398.11 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $12,022.64 | Facility | None | $363.08 | $912.01 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $1,819.70 Typical High $1,862.09 | Professional | None | $239.88 | $1,819.70 | $1,862.09 |
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 $229.09 Median $275.42 Typical High $389.05 | Professional | None | $229.09 | $275.42 | $389.05 |
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 $125.89 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $186.21 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $46.77 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $31.62 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.12 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $218.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $173.78 | $218.78 | $269.15 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in Utah. 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
$347
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.