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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $616.60 | Professional | None | $398.11 | $501.19 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $4,265.80 | Facility | None | $1,071.52 | $1,122.02 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,897.79 Typical High $5,011.87 | Facility | None | $645.65 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $602.56 | Professional | None | $416.87 | $549.54 | $602.56 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,698.24 Typical High $26,302.68 | Facility | None | $616.60 | $1,698.24 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $3,630.78 | Professional | None | $398.11 | $512.86 | $3,630.78 |
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 $389.05 Median $457.09 Typical High $630.96 | Professional | None | $389.05 | $457.09 | $630.96 |
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 $199.53 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $199.53 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $79.43 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $371.54 Typical High $467.74 | Professional | 54 · Surgery only | $302.00 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $74.13 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $50.12 Typical High $61.66 | Professional | 56 · Pre-op care only | $39.81 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $346.74 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $281.84 | $346.74 | $436.52 |
Where Kansas sits
The same service costs 7.2 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· 20th of 51
$617
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.