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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $912.01 | Professional | None | $588.84 | $724.44 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,265.80 Median $8,511.38 Typical High $8,912.51 | Facility | None | $4,265.80 | $8,511.38 | $8,912.51 |
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 $645.65 Median $6,165.95 Typical High $6,309.57 | Facility | None | $645.65 | $6,165.95 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $912.01 | Professional | None | $616.60 | $831.76 | $912.01 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $26,302.68 | Facility | None | $831.76 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $4,265.80 | Professional | None | $602.56 | $758.58 | $4,265.80 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $933.25 | Professional | None | $575.44 | $676.08 | $933.25 |
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 $295.12 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $295.12 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $144.54 Typical High $181.97 | Professional | 53 · Discontinued | $117.49 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $436.52 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | 56 · Pre-op care only | $58.88 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $407.38 | $512.86 | $630.96 |
Where Kansas sits
The same service costs 7.8 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
$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.