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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $446.68 | Professional | None | $213.80 | $331.13 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $1,862.09 | Facility | None | $645.65 | $1,778.28 | $1,862.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None | $288.40 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $851.14 Typical High $912.01 | Facility | None | $380.19 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | None | $245.47 | $323.59 | $524.81 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $912.01 Typical High $12,022.64 | Facility | None | $389.05 | $912.01 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $602.56 Typical High $1,995.26 | Professional | None | $295.12 | $602.56 | $1,995.26 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $467.74 | Professional | None | $239.88 | $309.03 | $467.74 |
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 $104.71 Median $165.96 Typical High $223.87 | Professional | 52 · Reduced service | $104.71 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $66.07 Typical High $91.20 | Professional | 53 · Discontinued | $42.66 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $245.47 Typical High $338.84 | Professional | 54 · Surgery only | $158.49 | $245.47 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $48.98 Typical High $67.61 | Professional | 55 · Aftercare only | $31.62 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.11 Typical High $44.67 | Professional | 56 · Pre-op care only | $21.38 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $229.09 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $147.91 | $229.09 | $316.23 |
Where Kansas sits
The same service costs 4.3 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· 14th of 51
$447
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.