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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $912.01 | Professional | None | $616.60 | $776.25 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,479.11 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,187.76 Typical High $2,398.83 | Facility | None | $741.31 | $2,187.76 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,000.00 | Professional | None | $467.74 | $707.95 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,290.87 Typical High $26,302.68 | Facility | None | $724.44 | $2,290.87 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $4,168.69 | Professional | None | $512.86 | $588.84 | $4,168.69 |
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 $501.19 Median $575.44 Typical High $1,047.13 | Professional | None | $501.19 | $575.44 | $1,047.13 |
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 $309.03 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $309.03 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $123.03 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $575.44 Typical High $691.83 | Professional | 54 · Surgery only | $467.74 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $93.33 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $537.03 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $436.52 | $537.03 | $645.65 |
Where Kansas sits
The same service costs 10.0 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· 5th of 51
$1,413
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.