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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,230.27 | Professional | None | $776.25 | $891.25 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $4,073.80 | Facility | None | $912.01 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,348.96 | Professional | None | $741.31 | $1,174.90 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $26,302.68 | Facility | None | $912.01 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $6,760.83 | Professional | None | $812.83 | $1,479.11 | $6,760.83 |
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 $741.31 Median $851.14 Typical High $1,230.27 | Professional | None | $741.31 | $851.14 | $1,230.27 |
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 $389.05 Median $446.68 Typical High $616.60 | Professional | 52 · Reduced service | $389.05 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $177.83 Typical High $245.47 | Professional | 53 · Discontinued | $154.88 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $676.08 Typical High $912.01 | Professional | 54 · Surgery only | $575.44 | $676.08 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $134.90 Typical High $186.21 | Professional | 55 · Aftercare only | $114.82 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $89.13 Typical High $123.03 | Professional | 56 · Pre-op care only | $77.62 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $630.96 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $537.03 | $630.96 | $851.14 |
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· 22nd of 51
$977
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.