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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $501.19 | Professional | None | $239.88 | $331.13 | $501.19 |
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 $380.19 | Professional | None | $288.40 | $288.40 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,318.26 | Facility | None | $524.81 | $933.25 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $489.78 | Professional | None | $234.42 | $331.13 | $489.78 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $912.01 Typical High $16,218.10 | Facility | None | $389.05 | $912.01 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $1,698.24 Typical High $2,290.87 | Professional | None | $331.13 | $1,698.24 | $2,290.87 |
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 $457.09 | Professional | None | $239.88 | $309.03 | $457.09 |
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 $120.23 Median $162.18 Typical High $251.19 | Professional | 52 · Reduced service | $120.23 | $162.18 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $64.57 Typical High $100.00 | Professional | 53 · Discontinued | $47.86 | $64.57 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | 54 · Surgery only | $177.83 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $47.86 Typical High $75.86 | Professional | 55 · Aftercare only | $36.31 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $32.36 Typical High $50.12 | Professional | 56 · Pre-op care only | $23.99 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $223.87 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $165.96 | $223.87 | $354.81 |
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· 17th of 51
$380
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.