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 $549.54 Median $645.65 Typical High $812.83 | Professional | None | $549.54 | $645.65 | $812.83 |
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 $537.03 Median $831.76 Typical High $954.99 | Facility | None | $537.03 | $831.76 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,122.02 | Professional | None | $537.03 | $741.31 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $5,754.40 | Facility | None | $724.44 | $1,995.26 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $7,943.28 | Professional | None | $549.54 | $645.65 | $7,943.28 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,089.30 Typical High $6,760.83 | Facility | None | $691.83 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $1,047.13 | Professional | None | $549.54 | $602.56 | $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 $275.42 Median $323.59 Typical High $407.38 | Professional | 52 · Reduced service | $275.42 | $323.59 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $109.65 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $407.38 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | 55 · Aftercare only | $81.28 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $64.57 Typical High $81.28 | Professional | 56 · Pre-op care only | $54.95 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $380.19 | $457.09 | $562.34 |
Where Kansas sits
The same service costs 6.0 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· 25th of 51
$813
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.