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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,000.00 | Professional | None | $630.96 | $741.31 | $1,000.00 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $2,454.71 | Facility | None | $741.31 | $2,137.96 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,148.15 | Professional | None | $645.65 | $977.24 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,951.21 Typical High $26,302.68 | Facility | None | $870.96 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $5,888.44 | Professional | None | $676.08 | $1,258.93 | $5,888.44 |
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 $630.96 Median $724.44 Typical High $1,047.13 | Professional | None | $630.96 | $724.44 | $1,047.13 |
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 $316.23 Median $371.54 Typical High $501.19 | Professional | 52 · Reduced service | $316.23 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $204.17 | Professional | 53 · Discontinued | $125.89 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $758.58 | Professional | 54 · Surgery only | $478.63 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $151.36 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $100.00 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $707.95 |
Where Kansas sits
The same service costs 6.5 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· 14th of 51
$955
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.