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 $316.23 Median $426.58 Typical High $524.81 | Professional | None | $316.23 | $426.58 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $1,445.44 | Facility | None | $151.36 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | None | $426.58 | $426.58 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $436.52 | Facility | None | $162.18 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $524.81 | Professional | None | $316.23 | $436.52 | $524.81 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $478.63 Typical High $12,022.64 | Facility | None | $162.18 | $478.63 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $2,290.87 Typical High $2,511.89 | Professional | None | $338.84 | $2,290.87 | $2,511.89 |
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 $295.12 Median $354.81 Typical High $512.86 | Professional | None | $295.12 | $354.81 | $512.86 |
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 $154.88 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $154.88 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $63.10 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $234.42 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $63.10 Typical High $79.43 | Professional | 55 · Aftercare only | $46.77 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $31.62 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $218.78 | $295.12 | $363.08 |
Where Kansas sits
The same service costs 5.8 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· 18th of 51
$437
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.