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 $549.54 Median $676.08 Typical High $831.76 | Professional | None | $549.54 | $676.08 | $831.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $776.25 Typical High $812.83 | Facility | None | $151.36 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $602.56 | Facility | None | $162.18 | $588.84 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $812.83 | Professional | None | $562.34 | $676.08 | $812.83 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $602.56 Typical High $16,218.10 | Facility | None | $158.49 | $602.56 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $3,981.07 | Professional | None | $489.78 | $660.69 | $3,981.07 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $851.14 | Professional | None | $489.78 | $616.60 | $851.14 |
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 $275.42 Median $338.84 Typical High $416.87 | Professional | 52 · Reduced service | $275.42 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $109.65 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $407.38 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $102.33 Typical High $125.89 | Professional | 55 · Aftercare only | $81.28 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $67.61 Typical High $83.18 | Professional | 56 · Pre-op care only | $54.95 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $380.19 | $478.63 | $588.84 |
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· 20th of 51
$661
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.