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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $1,000.00 | Professional | None | $467.74 | $758.58 | $1,000.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $912.01 | Professional | None | $707.95 | $707.95 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,981.07 Typical High $4,073.80 | Facility | None | $794.33 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,174.90 | Professional | None | $512.86 | $691.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $2,238.72 Typical High $26,302.68 | Facility | None | $776.25 | $2,238.72 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,318.26 Typical High $4,570.88 | Professional | None | $660.69 | $1,318.26 | $4,570.88 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,047.13 | Professional | None | $537.03 | $676.08 | $1,047.13 |
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 $234.42 Median $380.19 Typical High $501.19 | Professional | 52 · Reduced service | $234.42 | $380.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $151.36 Typical High $199.53 | Professional | 53 · Discontinued | $93.33 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $575.44 Typical High $741.31 | Professional | 54 · Surgery only | $354.81 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $114.82 Typical High $147.91 | Professional | 55 · Aftercare only | $70.79 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $75.86 Typical High $100.00 | Professional | 56 · Pre-op care only | $46.77 | $75.86 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $537.03 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $331.13 | $537.03 | $691.83 |
Where Kansas sits
The same service costs 5.0 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· 15th of 51
$912
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.