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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $691.83 | Professional | None | $436.52 | $501.19 | $691.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $309.03 | Facility | None | $158.49 | $295.12 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $165.96 Typical High $177.83 | Facility | None | $123.03 | $165.96 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $758.58 | Professional | None | $416.87 | $588.84 | $758.58 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $407.38 Typical High $1,659.59 | Facility | None | $54.95 | $407.38 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $3,090.30 | Professional | None | $426.58 | $851.14 | $3,090.30 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $691.83 | Professional | None | $407.38 | $489.78 | $691.83 |
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 $218.78 Median $251.19 Typical High $346.74 | Professional | 52 · Reduced service | $218.78 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $100.00 Typical High $138.04 | Professional | 53 · Discontinued | $87.10 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $371.54 Typical High $512.86 | Professional | 54 · Surgery only | $323.59 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $102.33 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $50.12 Typical High $69.18 | Professional | 56 · Pre-op care only | $43.65 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $346.74 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $302.00 | $346.74 | $478.63 |
Where Kansas sits
The same service costs 4.2 times more in Wyoming 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· 27th of 51
$490
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.