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 $489.78 Median $562.34 Typical High $691.83 | Professional | None | $489.78 | $562.34 | $691.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,344.23 Typical High $2,344.23 | Facility | None | $524.81 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $870.96 | Professional | None | $407.38 | $602.56 | $870.96 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,290.87 Typical High $16,218.10 | Facility | None | $630.96 | $2,290.87 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $3,162.28 | Professional | None | $446.68 | $512.86 | $3,162.28 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $794.33 | Professional | None | $436.52 | $512.86 | $794.33 |
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 $245.47 Median $281.84 Typical High $346.74 | Professional | 52 · Reduced service | $245.47 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $112.20 Typical High $138.04 | Professional | 53 · Discontinued | $97.72 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | 54 · Surgery only | $363.08 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | 56 · Pre-op care only | $48.98 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $338.84 | $398.11 | $489.78 |
Where Kansas sits
The same service costs 8.9 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· 23rd of 51
$692
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.