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 $309.03 Median $478.63 Typical High $691.83 | Professional | None | $309.03 | $478.63 | $691.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $346.74 | Facility | None | $331.13 | $346.74 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $660.69 | Professional | None | $436.52 | $436.52 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,659.59 Typical High $1,659.59 | Facility | None | $338.84 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $524.81 Typical High $660.69 | Professional | None | $323.59 | $524.81 | $660.69 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,023.29 Typical High $3,548.13 | Facility | None | $54.95 | $1,023.29 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $2,344.23 Typical High $3,388.44 | Professional | None | $457.09 | $2,344.23 | $3,388.44 |
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 $346.74 Median $457.09 Typical High $676.08 | Professional | None | $346.74 | $457.09 | $676.08 |
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 $239.88 Typical High $346.74 | Professional | 52 · Reduced service | $154.88 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $97.72 Typical High $138.04 | Professional | 53 · Discontinued | $61.66 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $363.08 Typical High $512.86 | Professional | 54 · Surgery only | $229.09 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $72.44 Typical High $104.71 | Professional | 55 · Aftercare only | $46.77 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $47.86 Typical High $69.18 | Professional | 56 · Pre-op care only | $30.90 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $338.84 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $213.80 | $338.84 | $478.63 |
Where Kansas sits
The same service costs 4.5 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· 18th 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.