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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None | $158.49 | $218.78 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $537.03 | Facility | None | $295.12 | $309.03 | $537.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | None | $194.98 | $194.98 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $870.96 Typical High $912.01 | Facility | None | $380.19 | $870.96 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $346.74 | Professional | None | $162.18 | $218.78 | $346.74 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $912.01 Typical High $12,022.64 | Facility | None | $245.47 | $912.01 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $371.54 Typical High $1,380.38 | Professional | None | $169.82 | $371.54 | $1,380.38 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $316.23 | Professional | None | $154.88 | $181.97 | $316.23 |
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 $79.43 Median $109.65 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | 53 · Discontinued | $31.62 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $213.80 | Professional | 54 · Surgery only | $120.23 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $33.11 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $33.11 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.88 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.85 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $154.88 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $112.20 | $154.88 | $199.53 |
Where Kansas sits
The same service costs 4.6 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
$288
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.