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 $426.58 Median $501.19 Typical High $630.96 | Professional | None | $426.58 | $501.19 | $630.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,398.83 | Facility | None | $602.56 | $2,089.30 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $933.25 | Professional | None | $426.58 | $616.60 | $933.25 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,737.80 Typical High $26,302.68 | Facility | None | $630.96 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $4,265.80 | Professional | None | $436.52 | $501.19 | $4,265.80 |
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 $436.52 Median $478.63 Typical High $831.76 | Professional | None | $436.52 | $478.63 | $831.76 |
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 $213.80 Median $251.19 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | 53 · Discontinued | $85.11 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $380.19 Typical High $467.74 | Professional | 54 · Surgery only | $323.59 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $50.12 Typical High $63.10 | Professional | 56 · Pre-op care only | $42.66 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $354.81 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $302.00 | $354.81 | $436.52 |
Where Kansas sits
The same service costs 7.1 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· 16th of 51
$776
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.