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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $912.01 | Professional | None | $346.74 | $524.81 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Facility | None | $851.14 | $891.25 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | None | $446.68 | $446.68 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $1,513.56 | Facility | None | $645.65 | $1,445.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $630.96 | Professional | None | $309.03 | $467.74 | $630.96 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,412.54 Typical High $26,302.68 | Facility | None | $446.68 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $2,344.23 Typical High $3,548.13 | Professional | None | $457.09 | $2,344.23 | $3,548.13 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $616.60 | Professional | None | $302.00 | $416.87 | $616.60 |
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 $173.78 Median $257.04 Typical High $457.09 | Professional | 52 · Reduced service | $173.78 | $257.04 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $104.71 Typical High $181.97 | Professional | 53 · Discontinued | $69.18 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $389.05 Typical High $676.08 | Professional | 54 · Surgery only | $263.03 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $77.62 Typical High $134.90 | Professional | 55 · Aftercare only | $52.48 | $77.62 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $52.48 Typical High $91.20 | Professional | 56 · Pre-op care only | $34.67 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $363.08 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $245.47 | $363.08 | $630.96 |
Where Kansas sits
The same service costs 5.9 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· 13th of 51
$631
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.