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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $645.65 | Professional | None | $426.58 | $524.81 | $645.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,412.54 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,995.26 Typical High $2,238.72 | Facility | None | $380.19 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $630.96 | Professional | None | $436.52 | $562.34 | $630.96 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $12,022.64 | Facility | None | $398.11 | $707.95 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $3,090.30 | Professional | None | $407.38 | $524.81 | $3,090.30 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $660.69 | Professional | None | $398.11 | $467.74 | $660.69 |
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 $208.93 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $208.93 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $85.11 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $398.11 Typical High $489.78 | Professional | 54 · Surgery only | $316.23 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $42.66 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $371.54 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $295.12 | $371.54 | $457.09 |
Where Kansas sits
The same service costs 8.1 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
$562
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.