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 $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 $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $2,238.72 | Facility | None | $602.56 | $1,995.26 | $2,238.72 |
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 $758.58 Median $1,737.80 Typical High $26,302.68 | Facility | None | $758.58 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $4,265.80 | Professional | None | $588.84 | $758.58 | $4,265.80 |
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 $562.34 Median $660.69 Typical High $933.25 | Professional | None | $562.34 | $660.69 | $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 $288.40 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $288.40 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $117.49 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $537.03 Typical High $676.08 | Professional | 54 · Surgery only | $436.52 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $134.90 |
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 $630.96 | Professional | 78 · Unplanned return to OR | $407.38 | $501.19 | $630.96 |
Where Kansas sits
The same service costs 8.9 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
$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.