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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $346.74 | Professional | None | $181.97 | $269.15 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,380.38 | $2,511.89 | $2,630.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | None | $295.12 | $295.12 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,089.30 Typical High $2,344.23 | Facility | None | $380.19 | $2,089.30 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $398.11 | Professional | None | $181.97 | $257.04 | $398.11 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,348.96 Typical High $12,022.64 | Facility | None | $288.40 | $1,348.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $3,162.28 | Professional | None | $213.80 | $245.47 | $3,162.28 |
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 $190.55 Median $234.42 Typical High $398.11 | Professional | None | $190.55 | $234.42 | $398.11 |
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 $91.20 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $91.20 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $53.70 Typical High $70.79 | Professional | 53 · Discontinued | $36.31 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $199.53 Typical High $263.03 | Professional | 54 · Surgery only | $138.04 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $39.81 Typical High $52.48 | Professional | 55 · Aftercare only | $27.54 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $26.92 Typical High $34.67 | Professional | 56 · Pre-op care only | $18.20 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $186.21 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $128.82 | $186.21 | $245.47 |
Where Kansas sits
The same service costs 4.4 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· 14th of 51
$347
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.