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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $562.34 | Professional | None | $239.88 | $371.54 | $562.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $537.03 | Professional | None | $346.74 | $346.74 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,238.72 | Facility | None | $524.81 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $549.54 | Professional | None | $251.19 | $426.58 | $549.54 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,348.96 Typical High $16,218.10 | Facility | None | $446.68 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,778.28 Typical High $2,754.23 | Professional | None | $407.38 | $1,778.28 | $2,754.23 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $524.81 | Professional | None | $275.42 | $380.19 | $524.81 |
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 $117.49 Median $186.21 Typical High $281.84 | Professional | 52 · Reduced service | $117.49 | $186.21 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $112.20 | Professional | 53 · Discontinued | $47.86 | $74.13 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $281.84 Typical High $426.58 | Professional | 54 · Surgery only | $177.83 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $56.23 Typical High $85.11 | Professional | 55 · Aftercare only | $35.48 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $37.15 Typical High $56.23 | Professional | 56 · Pre-op care only | $23.99 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $263.03 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $165.96 | $263.03 | $398.11 |
Where Kansas sits
The same service costs 5.5 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· 12th of 51
$525
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.