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 $331.13 Median $436.52 Typical High $575.44 | Professional | None | $331.13 | $436.52 | $575.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $2,041.74 | Facility | None | $478.63 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $691.83 | Professional | None | $331.13 | $478.63 | $691.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $724.44 Typical High $3,090.30 | Facility | None | $54.95 | $724.44 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $2,818.38 | Professional | None | $354.81 | $407.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $3,311.31 | Facility | None | $501.19 | $1,023.29 | $3,311.31 |
United Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $630.96 | Professional | None | $338.84 | $371.54 | $630.96 |
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 $165.96 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $66.07 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $251.19 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $50.12 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $33.11 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $234.42 | $269.15 | $338.84 |
Where Kansas sits
The same service costs 5.8 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· 13th of 51
$617
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.