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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $416.87 | Professional | None | $218.78 | $323.59 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $2,290.87 | Facility | None | $912.01 | $2,187.76 | $2,290.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | None | $275.42 | $275.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,479.11 Typical High $1,548.82 | Facility | None | $389.05 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $398.11 | Professional | None | $194.98 | $257.04 | $398.11 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $891.25 Typical High $12,022.64 | Facility | None | $295.12 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $2,344.23 | Professional | None | $223.87 | $251.19 | $2,344.23 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $380.19 | Professional | None | $173.78 | $223.87 | $380.19 |
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 $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $245.47 Typical High $309.03 | Professional | 54 · Surgery only | $162.18 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $48.98 Typical High $61.66 | Professional | 55 · Aftercare only | $32.36 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $32.36 Typical High $41.69 | Professional | 56 · Pre-op care only | $21.88 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $229.09 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $151.36 | $229.09 | $288.40 |
Where Kansas sits
The same service costs 4.6 times more in Alaska 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· 8th 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.