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 $3,162.28 Typical High $7,943.28 | Facility | None | $1,148.15 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Facility | None | $346.74 | $363.08 | $363.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,071.52 | Professional | None | $933.25 | $933.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $436.52 Typical High $446.68 | Facility | None | $346.74 | $436.52 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $1,412.54 | Professional | None | $501.19 | $616.60 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $776.25 Typical High $2,570.40 | Facility | None | $54.95 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $3,890.45 Typical High $5,495.41 | Professional | None | $645.65 | $3,890.45 | $5,495.41 |
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 $645.65 Typical High $1,122.02 | Professional | None | $549.54 | $645.65 | $1,122.02 |
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 $512.86 | Professional | 52 · Reduced service | $275.42 | $380.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $151.36 Typical High $204.17 | Professional | 53 · Discontinued | $109.65 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $575.44 Typical High $776.25 | Professional | 54 · Surgery only | $416.87 | $575.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | 55 · Aftercare only | $83.18 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $75.86 Typical High $102.33 | Professional | 56 · Pre-op care only | $54.95 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $537.03 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $389.05 | $537.03 | $724.44 |
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· 31st 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.