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 $891.25 Median $4,570.88 Typical High $8,912.51 | Facility | None | $891.25 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $501.19 | Professional | None | $281.84 | $363.08 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $812.83 Median $851.14 Typical High $851.14 | Facility | None | $812.83 | $851.14 | $851.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | None | $446.68 | $446.68 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $1,258.93 | Facility | None | $602.56 | $1,148.15 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $524.81 | Professional | None | $302.00 | $416.87 | $524.81 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,348.96 Typical High $26,302.68 | Facility | None | $467.74 | $1,348.96 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $2,137.96 Typical High $3,090.30 | Professional | None | $354.81 | $2,137.96 | $3,090.30 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $512.86 | Professional | None | $316.23 | $363.08 | $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 $141.25 Median $204.17 Typical High $251.19 | Professional | 52 · Reduced service | $141.25 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $56.23 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $302.00 Typical High $371.54 | Professional | 54 · Surgery only | $213.80 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $60.26 Typical High $75.86 | Professional | 55 · Aftercare only | $42.66 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $40.74 Typical High $50.12 | Professional | 56 · Pre-op care only | $28.18 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $281.84 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $199.53 | $281.84 | $346.74 |
Where Kansas sits
The same service costs 6.8 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· 16th of 51
$468
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.