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 $1,023.29 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,023.29 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $478.63 | Professional | None | $346.74 | $407.38 | $478.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $9,120.11 Typical High $9,549.93 | Facility | None | $1,380.38 | $9,120.11 | $9,549.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $630.96 | Professional | None | $549.54 | $549.54 | $630.96 |
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 $371.54 Median $501.19 Typical High $812.83 | Professional | None | $371.54 | $501.19 | $812.83 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,412.54 Typical High $26,302.68 | Facility | None | $501.19 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $851.14 Typical High $3,162.28 | Professional | None | $389.05 | $851.14 | $3,162.28 |
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 $354.81 Median $407.38 Typical High $707.95 | Professional | None | $354.81 | $407.38 | $707.95 |
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 $173.78 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $173.78 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $69.18 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $302.00 Typical High $354.81 | Professional | 54 · Surgery only | $263.03 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $52.48 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $34.67 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $281.84 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $245.47 | $281.84 | $331.13 |
Where Kansas sits
The same service costs 4.3 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· 14th of 51
$631
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.