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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | None | $676.08 | $776.25 | $954.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,019.95 Typical High $3,090.30 | Facility | None | $691.83 | $3,019.95 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,230.27 | Professional | None | $562.34 | $831.76 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,995.26 Typical High $8,511.38 | Facility | None | $54.95 | $1,995.26 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $5,128.61 | Professional | None | $616.60 | $741.31 | $5,128.61 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $1,096.48 | Professional | None | $602.56 | $707.95 | $1,096.48 |
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 $331.13 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $331.13 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $134.90 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $575.44 Typical High $707.95 | Professional | 54 · Surgery only | $501.19 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $114.82 Typical High $141.25 | Professional | 55 · Aftercare only | $100.00 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $67.61 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $537.03 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $467.74 | $537.03 | $660.69 |
Where Kansas sits
The same service costs 9.8 times more in Oklahoma 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· 20th of 51
$1,072
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.