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 $416.87 Median $3,630.78 Typical High $8,912.51 | Facility | None | $416.87 | $3,630.78 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $489.78 | Professional | None | $309.03 | $354.81 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,890.45 Median $7,079.46 Typical High $7,413.10 | Facility | None | $3,890.45 | $7,079.46 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,630.78 Typical High $4,073.80 | Facility | None | $602.56 | $3,630.78 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $524.81 | Professional | None | $302.00 | $467.74 | $524.81 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $26,302.68 | Facility | None | $501.19 | $1,778.28 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $2,630.27 | Professional | None | $316.23 | $602.56 | $2,630.27 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $4,786.30 | Facility | None | $831.76 | $1,778.28 | $4,786.30 |
United Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $489.78 | Professional | None | $295.12 | $346.74 | $489.78 |
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 $154.88 Median $177.83 Typical High $245.47 | Professional | 52 · Reduced service | $154.88 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | 54 · Surgery only | $229.09 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $46.77 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $251.19 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $213.80 | $251.19 | $346.74 |
Where Kansas sits
The same service costs 5.5 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
$447
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.