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 $1,174.90 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,174.90 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $616.60 | Professional | None | $398.11 | $446.68 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,778.28 Typical High $1,949.84 | Facility | None | $524.81 | $1,778.28 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $676.08 | Professional | None | $389.05 | $512.86 | $676.08 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,737.80 Typical High $16,218.10 | Facility | None | $588.84 | $1,737.80 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $758.58 Typical High $3,981.07 | Professional | None | $380.19 | $758.58 | $3,981.07 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $630.96 | Professional | None | $363.08 | $446.68 | $630.96 |
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 $199.53 Median $223.87 Typical High $309.03 | Professional | 52 · Reduced service | $199.53 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | 53 · Discontinued | $79.43 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $338.84 Typical High $467.74 | Professional | 54 · Surgery only | $295.12 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $67.61 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $44.67 Typical High $61.66 | Professional | 56 · Pre-op care only | $39.81 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $316.23 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $275.42 | $316.23 | $436.52 |
Where Kansas sits
The same service costs 5.1 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· 21st of 51
$513
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.