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 $3,162.28 Median $6,918.31 Typical High $12,589.25 | Facility | None | $3,162.28 | $6,918.31 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $794.33 | Professional | None | $489.78 | $676.08 | $794.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,388.44 Median $4,073.80 Typical High $4,265.80 | Facility | None | $3,388.44 | $4,073.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $4,168.69 | Facility | None | $1,698.24 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $870.96 | Professional | None | $407.38 | $616.60 | $870.96 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $3,715.35 Typical High $26,302.68 | Facility | None | $794.33 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $3,235.94 | Professional | None | $446.68 | $512.86 | $3,235.94 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $912.01 | Professional | None | $436.52 | $501.19 | $912.01 |
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 $269.15 Median $338.84 Typical High $398.11 | Professional | 52 · Reduced service | $269.15 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $134.90 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $407.38 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $81.28 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $53.70 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $380.19 | $467.74 | $562.34 |
Where Kansas sits
The same service costs 9.5 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· 2nd of 51
$2,884
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.