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 $1,148.15 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,148.15 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,000.00 | Professional | None | $549.54 | $707.95 | $1,000.00 |
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 $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,096.48 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $426.58 | Facility | None | $338.84 | $371.54 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $1,047.13 | Professional | None | $501.19 | $602.56 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $758.58 Typical High $2,570.40 | Facility | None | $54.95 | $758.58 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $3,715.35 Typical High $3,801.89 | Professional | None | $616.60 | $3,715.35 | $3,801.89 |
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 $549.54 Median $616.60 Typical High $812.83 | Professional | None | $549.54 | $616.60 | $812.83 |
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 $275.42 Median $380.19 Typical High $501.19 | Professional | 52 · Reduced service | $275.42 | $380.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $151.36 Typical High $199.53 | Professional | 53 · Discontinued | $109.65 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $575.44 Typical High $758.58 | Professional | 54 · Surgery only | $416.87 | $575.44 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $114.82 Typical High $151.36 | Professional | 55 · Aftercare only | $83.18 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $75.86 Typical High $100.00 | Professional | 56 · Pre-op care only | $54.95 | $75.86 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $537.03 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $389.05 | $537.03 | $707.95 |
Where Kansas sits
The same service costs 6.2 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· 16th of 51
$759
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.