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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $616.60 | Professional | None | $416.87 | $489.78 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $2,398.83 | Facility | None | $676.08 | $2,089.30 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $870.96 | Professional | None | $416.87 | $602.56 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,148.15 Typical High $5,128.61 | Facility | None | $54.95 | $1,148.15 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $3,801.89 | Professional | None | $426.58 | $489.78 | $3,801.89 |
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 $426.58 Median $467.74 Typical High $812.83 | Professional | None | $426.58 | $467.74 | $812.83 |
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 $208.93 Median $245.47 Typical High $309.03 | Professional | 52 · Reduced service | $208.93 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | 53 · Discontinued | $83.18 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $371.54 Typical High $457.09 | Professional | 54 · Surgery only | $316.23 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $74.13 Typical High $93.33 | Professional | 55 · Aftercare only | $63.10 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | 56 · Pre-op care only | $41.69 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $426.58 |
Where Kansas sits
The same service costs 10.2 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· 17th of 51
$759
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.