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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $812.83 | Professional | None | $512.86 | $602.56 | $812.83 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,981.07 Typical High $4,073.80 | Facility | None | $645.65 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $912.01 | Professional | None | $524.81 | $758.58 | $912.01 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $2,884.03 Typical High $26,302.68 | Facility | None | $776.25 | $2,884.03 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,023.29 Typical High $4,786.30 | Professional | None | $537.03 | $1,023.29 | $4,786.30 |
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 $512.86 Median $588.84 Typical High $851.14 | Professional | None | $512.86 | $588.84 | $851.14 |
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 $257.04 Median $302.00 Typical High $407.38 | Professional | 52 · Reduced service | $257.04 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $162.18 | Professional | 53 · Discontinued | $102.33 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $446.68 Typical High $616.60 | Professional | 54 · Surgery only | $389.05 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $89.13 Typical High $123.03 | Professional | 55 · Aftercare only | $77.62 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | 56 · Pre-op care only | $51.29 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $416.87 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $363.08 | $416.87 | $575.44 |
Where Kansas sits
The same service costs 6.3 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· 15th of 51
$759
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.