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 $251.19 Median $398.11 Typical High $588.84 | Professional | None | $251.19 | $398.11 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $3,801.89 Typical High $3,981.07 | Facility | None | $295.12 | $3,801.89 | $3,981.07 |
BCBS Kansas Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None | $371.54 | $371.54 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $933.25 Typical High $933.25 | Facility | None | $281.84 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $575.44 | Professional | None | $269.15 | $446.68 | $575.44 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,348.96 Typical High $11,481.54 | Facility | None | $457.09 | $1,348.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $1,905.46 Typical High $2,884.03 | Professional | None | $398.11 | $1,905.46 | $2,884.03 |
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 $288.40 Median $389.05 Typical High $562.34 | Professional | None | $288.40 | $389.05 | $562.34 |
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 $125.89 Median $199.53 Typical High $295.12 | Professional | 52 · Reduced service | $125.89 | $199.53 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $79.43 Typical High $117.49 | Professional | 53 · Discontinued | $51.29 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $302.00 Typical High $436.52 | Professional | 54 · Surgery only | $190.55 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $60.26 Typical High $89.13 | Professional | 55 · Aftercare only | $38.02 | $60.26 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $39.81 Typical High $58.88 | Professional | 56 · Pre-op care only | $25.12 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $281.84 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $177.83 | $281.84 | $407.38 |
Where Kansas sits
The same service costs 4.3 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· 11th of 51
$513
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.