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 $776.25 Median $4,677.35 Typical High $9,549.93 | Facility | None | $776.25 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $776.25 | Professional | None | $323.59 | $489.78 | $776.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $436.52 Median $1,380.38 Typical High $1,445.44 | Facility | None | $436.52 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $549.54 | Professional | None | $338.84 | $338.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $1,258.93 | Facility | None | $446.68 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $645.65 | Professional | None | $275.42 | $446.68 | $645.65 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,380.38 Typical High $7,244.36 | Facility | None | $54.95 | $1,380.38 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $2,238.72 Typical High $3,467.37 | Professional | None | $446.68 | $2,238.72 | $3,467.37 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $602.56 | Professional | None | $302.00 | $398.11 | $602.56 |
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 $162.18 Median $245.47 Typical High $389.05 | Professional | 52 · Reduced service | $162.18 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $97.72 Typical High $154.88 | Professional | 53 · Discontinued | $64.57 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $575.44 | Professional | 54 · Surgery only | $239.88 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $114.82 | Professional | 55 · Aftercare only | $47.86 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $48.98 Typical High $77.62 | Professional | 56 · Pre-op care only | $32.36 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $223.87 | $338.84 | $537.03 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 17th of 51
$537
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.