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 $645.65 Median $794.33 Typical High $1,000.00 | Professional | None | $645.65 | $794.33 | $1,000.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,023.29 | Facility | None | $977.24 | $1,023.29 | $1,023.29 |
BCBS Kansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,258.93 Typical High $1,621.81 | Facility | None | $524.81 | $1,258.93 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $977.24 | Professional | None | $676.08 | $870.96 | $977.24 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,096.48 Typical High $16,218.10 | Facility | None | $549.54 | $1,096.48 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $4,897.79 | Professional | None | $537.03 | $776.25 | $4,897.79 |
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 $512.86 Median $741.31 Typical High $1,023.29 | Professional | None | $512.86 | $741.31 | $1,023.29 |
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 $323.59 Median $398.11 Typical High $489.78 | Professional | 52 · Reduced service | $323.59 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | 53 · Discontinued | $128.82 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $478.63 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $100.00 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $446.68 | $562.34 | $691.83 |
Where Kansas sits
The same service costs 7.4 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· 23rd 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.