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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $537.03 | Professional | None | $363.08 | $426.58 | $537.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $3,801.89 Typical High $3,981.07 | Facility | None | $1,380.38 | $3,801.89 | $3,981.07 |
BCBS Kansas Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,398.83 | Facility | None | $912.01 | $2,089.30 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $776.25 | Professional | None | $363.08 | $537.03 | $776.25 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,737.80 Typical High $11,481.54 | Facility | None | $575.44 | $1,737.80 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $2,818.38 | Professional | None | $389.05 | $446.68 | $2,818.38 |
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 $380.19 Median $416.87 Typical High $691.83 | Professional | None | $380.19 | $416.87 | $691.83 |
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 $181.97 Median $213.80 Typical High $269.15 | Professional | 52 · Reduced service | $181.97 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | 53 · Discontinued | $72.44 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $275.42 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | 55 · Aftercare only | $54.95 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $42.66 Typical High $53.70 | Professional | 56 · Pre-op care only | $36.31 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $257.04 | $302.00 | $371.54 |
Where Kansas sits
The same service costs 7.1 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· 4th of 51
$1,380
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.