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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $977.24 | Professional | None | $562.34 | $776.25 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $2,398.83 | Facility | None | $912.01 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $741.31 | Professional | None | $512.86 | $724.44 | $741.31 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,398.83 Typical High $26,302.68 | Facility | None | $676.08 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $6,918.31 | Professional | None | $524.81 | $676.08 | $6,918.31 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $707.95 | Professional | None | $501.19 | $602.56 | $707.95 |
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 $281.84 Median $389.05 Typical High $489.78 | Professional | 52 · Reduced service | $281.84 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $154.88 Typical High $199.53 | Professional | 53 · Discontinued | $112.20 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $575.44 Typical High $741.31 | Professional | 54 · Surgery only | $426.58 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $114.82 Typical High $147.91 | Professional | 55 · Aftercare only | $85.11 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $77.62 Typical High $97.72 | Professional | 56 · Pre-op care only | $56.23 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $537.03 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $398.11 | $537.03 | $691.83 |
Where Kansas sits
The same service costs 7.9 times more in Wyoming 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
$912
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.