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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $707.95 | Professional | None | $537.03 | $691.83 | $707.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $3,548.13 | Facility | None | $1,096.48 | $1,148.15 | $3,548.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,890.45 Typical High $3,981.07 | Facility | None | $524.81 | $3,890.45 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $691.83 | Professional | None | $436.52 | $575.44 | $691.83 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $16,218.10 | Facility | None | $630.96 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $3,019.95 | Professional | None | $407.38 | $630.96 | $3,019.95 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $870.96 | Professional | None | $407.38 | $602.56 | $870.96 |
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 $269.15 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $269.15 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $398.11 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $69.18 Typical High $70.79 | Professional | 56 · Pre-op care only | $53.70 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $371.54 | $489.78 | $489.78 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in New York. 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· 10th of 51
$1,096
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.