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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $741.31 | Professional | None | $467.74 | $549.54 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $389.05 Median $1,949.84 Typical High $1,995.26 | Facility | None | $389.05 | $1,949.84 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $776.25 | Professional | None | $436.52 | $660.69 | $776.25 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,096.48 Typical High $12,022.64 | Facility | None | $501.19 | $1,096.48 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $3,388.44 | Professional | None | $457.09 | $912.01 | $3,388.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $741.31 | Professional | None | $426.58 | $524.81 | $741.31 |
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 $269.15 Typical High $371.54 | Professional | 52 · Reduced service | $234.42 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $147.91 | Professional | 53 · Discontinued | $93.33 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | 54 · Surgery only | $354.81 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $81.28 Typical High $112.20 | Professional | 55 · Aftercare only | $70.79 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $54.95 Typical High $74.13 | Professional | 56 · Pre-op care only | $46.77 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $380.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $331.13 | $380.19 | $524.81 |
Where Kansas sits
The same service costs 6.2 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· 26th of 51
$550
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.