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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $416.87 | Professional | None | $234.42 | $338.84 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $1,548.82 Typical High $1,621.81 | Facility | None | $151.36 | $1,548.82 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | None | $338.84 | $338.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $436.52 | Facility | None | $128.82 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $426.58 | Professional | None | $239.88 | $331.13 | $426.58 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $1,380.38 | Facility | None | $54.95 | $380.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $1,737.80 Typical High $1,995.26 | Professional | None | $288.40 | $1,737.80 | $1,995.26 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $407.38 | Professional | None | $251.19 | $295.12 | $407.38 |
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 $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $117.49 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $67.61 Typical High $83.18 | Professional | 53 · Discontinued | $46.77 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $251.19 Typical High $309.03 | Professional | 54 · Surgery only | $177.83 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $50.12 Typical High $63.10 | Professional | 55 · Aftercare only | $35.48 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $33.88 Typical High $41.69 | Professional | 56 · Pre-op care only | $23.44 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $234.42 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $165.96 | $234.42 | $295.12 |
Where Kansas sits
The same service costs 5.1 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
$363
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.