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 $316.23 Median $478.63 Typical High $707.95 | Professional | None | $316.23 | $478.63 | $707.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,258.93 | Facility | None | $851.14 | $1,174.90 | $1,258.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $630.96 | Professional | None | $436.52 | $436.52 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,047.13 | Facility | None | $524.81 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $691.83 | Professional | None | $338.84 | $537.03 | $691.83 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $16,218.10 | Facility | None | $489.78 | $954.99 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $2,344.23 Typical High $3,388.44 | Professional | None | $489.78 | $2,344.23 | $3,388.44 |
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 $354.81 Median $478.63 Typical High $691.83 | Professional | None | $354.81 | $478.63 | $691.83 |
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 $158.49 Median $245.47 Typical High $354.81 | Professional | 52 · Reduced service | $158.49 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $97.72 Typical High $141.25 | Professional | 53 · Discontinued | $63.10 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $371.54 Typical High $524.81 | Professional | 54 · Surgery only | $234.42 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $74.13 Typical High $107.15 | Professional | 55 · Aftercare only | $46.77 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $48.98 Typical High $70.79 | Professional | 56 · Pre-op care only | $31.62 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $346.74 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $218.78 | $346.74 | $489.78 |
Where Kansas sits
The same service costs 4.9 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· 11th of 51
$589
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.