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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $933.25 | Professional | None | $602.56 | $676.08 | $933.25 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $562.34 Median $794.33 Typical High $977.24 | Professional | None | $562.34 | $794.33 | $977.24 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,737.80 Typical High $16,218.10 | Facility | None | $724.44 | $1,737.80 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,174.90 Typical High $4,168.69 | Professional | None | $562.34 | $1,174.90 | $4,168.69 |
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 $512.86 Median $676.08 Typical High $933.25 | Professional | None | $512.86 | $676.08 | $933.25 |
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 $302.00 Median $338.84 Typical High $467.74 | Professional | 52 · Reduced service | $302.00 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $120.23 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $707.95 | Professional | 54 · Surgery only | $457.09 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $141.25 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $67.61 Typical High $93.33 | Professional | 56 · Pre-op care only | $60.26 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $660.69 |
Where Kansas sits
The same service costs 5.5 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· 21st of 51
$776
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.