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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $602.56 | Professional | None | $275.42 | $380.19 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | None | $457.09 | $457.09 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $234.42 Typical High $389.05 | Facility | None | $218.78 | $234.42 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $478.63 | Professional | None | $257.04 | $309.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $524.81 Typical High $1,737.80 | Facility | None | $54.95 | $524.81 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $2,754.23 Typical High $3,311.31 | Professional | None | $331.13 | $2,754.23 | $3,311.31 |
United Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $2,454.71 | Facility | None | $331.13 | $676.08 | $2,454.71 |
United Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $416.87 | Professional | None | $269.15 | $331.13 | $416.87 |
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 $138.04 Median $190.55 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $190.55 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | 53 · Discontinued | $54.95 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $288.40 Typical High $446.68 | Professional | 54 · Surgery only | $208.93 | $288.40 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $57.54 Typical High $89.13 | Professional | 55 · Aftercare only | $41.69 | $57.54 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $60.26 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $269.15 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $194.98 | $269.15 | $416.87 |
Where Kansas sits
The same service costs 5.2 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· 12th of 51
$457
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.