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 $380.19 Median $524.81 Typical High $851.14 | Professional | None | $380.19 | $524.81 | $851.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $676.08 | Facility | None | $323.59 | $371.54 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $588.84 | Professional | None | $346.74 | $398.11 | $588.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,023.29 Typical High $3,630.78 | Facility | None | $54.95 | $1,023.29 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $2,570.40 Typical High $3,235.94 | Professional | None | $407.38 | $2,570.40 | $3,235.94 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $549.54 | Professional | None | $338.84 | $416.87 | $549.54 |
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 $190.55 Median $263.03 Typical High $426.58 | Professional | 52 · Reduced service | $190.55 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $104.71 Typical High $169.82 | Professional | 53 · Discontinued | $75.86 | $104.71 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $389.05 Typical High $630.96 | Professional | 54 · Surgery only | $288.40 | $389.05 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $79.43 Typical High $125.89 | Professional | 55 · Aftercare only | $57.54 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $52.48 Typical High $85.11 | Professional | 56 · Pre-op care only | $38.02 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $269.15 | $363.08 | $588.84 |
Where Kansas sits
The same service costs 5.0 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· 20th of 51
$525
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.