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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $758.58 | Professional | None | $512.86 | $645.65 | $758.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $2,344.23 | Facility | None | $602.56 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $831.76 | Professional | None | $389.05 | $575.44 | $831.76 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $26,302.68 | Facility | None | $645.65 | $1,698.24 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $3,311.31 | Professional | None | $426.58 | $478.63 | $3,311.31 |
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 $416.87 Median $478.63 Typical High $870.96 | Professional | None | $416.87 | $478.63 | $870.96 |
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 $257.04 Median $323.59 Typical High $380.19 | Professional | 52 · Reduced service | $257.04 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $478.63 Typical High $575.44 | Professional | 54 · Surgery only | $389.05 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $95.50 Typical High $114.82 | Professional | 55 · Aftercare only | $77.62 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | 56 · Pre-op care only | $51.29 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $446.68 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $363.08 | $446.68 | $537.03 |
Where Kansas sits
The same service costs 6.0 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· 17th of 51
$759
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.