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 $457.09 Median $3,548.13 Typical High $7,943.28 | Facility | None | $457.09 | $3,548.13 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $346.74 | Professional | None | $218.78 | $281.84 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,479.11 Median $4,073.80 Typical High $4,265.80 | Facility | None | $1,479.11 | $4,073.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | None | $288.40 | $288.40 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,137.96 Typical High $2,344.23 | Facility | None | $524.81 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $426.58 | Professional | None | $199.53 | $269.15 | $426.58 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,348.96 Typical High $16,218.10 | Facility | None | $323.59 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $2,238.72 | Professional | None | $229.09 | $446.68 | $2,238.72 |
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 $204.17 Median $234.42 Typical High $389.05 | Professional | None | $204.17 | $234.42 | $389.05 |
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 $109.65 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $56.23 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $208.93 Typical High $257.04 | Professional | 54 · Surgery only | $165.96 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $28.18 Typical High $34.67 | Professional | 56 · Pre-op care only | $21.88 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $194.98 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $154.88 | $194.98 | $239.88 |
Where Kansas sits
The same service costs 5.9 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· 11th of 51
$380
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.