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 $426.58 Median $501.19 Typical High $512.86 | Professional | None | $426.58 | $501.19 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,548.82 | $1,548.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,041.74 | Facility | None | $446.68 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $933.25 | Professional | None | $416.87 | $660.69 | $933.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $645.65 Typical High $4,466.84 | Facility | None | $54.95 | $645.65 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $3,388.44 | Professional | None | $436.52 | $537.03 | $3,388.44 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $794.33 | Professional | None | $436.52 | $478.63 | $794.33 |
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 $257.04 | Professional | 52 · Reduced service | $213.80 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $371.54 Typical High $380.19 | Professional | 54 · Surgery only | $316.23 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $74.13 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $42.66 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $354.81 |
Where Kansas sits
The same service costs 7.2 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· 15th of 51
$708
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.