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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,023.29 | Professional | None | $691.83 | $851.14 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,290.87 Typical High $2,398.83 | Facility | None | $794.33 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,148.15 | Professional | None | $537.03 | $794.33 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,398.83 Typical High $26,302.68 | Facility | None | $758.58 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $6,025.60 | Professional | None | $645.65 | $1,202.26 | $6,025.60 |
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 $645.65 Median $794.33 Typical High $1,348.96 | Professional | None | $645.65 | $794.33 | $1,348.96 |
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 $346.74 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $346.74 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $138.04 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $645.65 Typical High $758.58 | Professional | 54 · Surgery only | $524.81 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $128.82 Typical High $151.36 | Professional | 55 · Aftercare only | $104.71 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $69.18 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $602.56 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $489.78 | $602.56 | $707.95 |
Where Kansas sits
The same service costs 7.4 times more in Oklahoma than in New York. 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· 22nd of 51
$1,175
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.