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 $338.84 Median $426.58 Typical High $549.54 | Professional | None | $338.84 | $426.58 | $549.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,122.02 | $1,548.82 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,258.93 Typical High $1,318.26 | Facility | None | $562.34 | $1,258.93 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $645.65 Typical High $645.65 | Professional | None | $380.19 | $645.65 | $645.65 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $16,218.10 | Facility | None | $501.19 | $1,047.13 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $3,235.94 | Professional | None | $389.05 | $489.78 | $3,235.94 |
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 $363.08 Median $407.38 Typical High $588.84 | Professional | None | $363.08 | $407.38 | $588.84 |
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 $165.96 Median $213.80 Typical High $275.42 | Professional | 52 · Reduced service | $165.96 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $109.65 | Professional | 53 · Discontinued | $67.61 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $323.59 Typical High $416.87 | Professional | 54 · Surgery only | $251.19 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $64.57 Typical High $83.18 | Professional | 55 · Aftercare only | $50.12 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $54.95 | Professional | 56 · Pre-op care only | $33.88 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $302.00 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $234.42 | $302.00 | $389.05 |
Where Kansas sits
The same service costs 5.8 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
$575
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.