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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $371.54 | Professional | None | $223.87 | $302.00 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | None | $302.00 | $302.00 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $1,380.38 | Facility | None | $562.34 | $1,318.26 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $446.68 | Professional | None | $208.93 | $269.15 | $446.68 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,348.96 Typical High $16,218.10 | Facility | None | $346.74 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $2,187.76 | Professional | None | $251.19 | $478.63 | $2,187.76 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $416.87 | Professional | None | $204.17 | $251.19 | $416.87 |
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 $112.20 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $60.26 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $223.87 Typical High $275.42 | Professional | 54 · Surgery only | $165.96 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $44.67 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $30.20 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $208.93 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $154.88 | $208.93 | $257.04 |
Where Kansas sits
The same service costs 5.6 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· 17th of 51
$355
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.