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 $1,023.29 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,023.29 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $575.44 | Professional | None | $302.00 | $416.87 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | None | $275.42 | $275.42 | $295.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $213.80 Median $2,570.40 Typical High $2,691.53 | Facility | None | $213.80 | $2,570.40 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $707.95 Typical High $954.99 | Facility | None | $213.80 | $707.95 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $1,023.29 | Professional | None | $275.42 | $346.74 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $977.24 Typical High $11,481.54 | Facility | None | $398.11 | $977.24 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $3,235.94 Typical High $4,466.84 | Professional | None | $354.81 | $3,235.94 | $4,466.84 |
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 $309.03 Median $354.81 Typical High $691.83 | Professional | None | $309.03 | $354.81 | $691.83 |
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 $151.36 Median $208.93 Typical High $288.40 | Professional | 52 · Reduced service | $151.36 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $61.66 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $316.23 Typical High $426.58 | Professional | 54 · Surgery only | $229.09 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $63.10 Typical High $87.10 | Professional | 55 · Aftercare only | $45.71 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $41.69 Typical High $57.54 | Professional | 56 · Pre-op care only | $30.20 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $295.12 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $213.80 | $295.12 | $398.11 |
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· 4th 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.