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 $223.87 Median $331.13 Typical High $588.84 | Professional | None | $223.87 | $331.13 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | None | $302.00 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $676.08 | Facility | None | $281.84 | $295.12 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $524.81 | Professional | None | $199.53 | $295.12 | $524.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,630.78 | Facility | None | $54.95 | $1,000.00 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $1,479.11 Typical High $3,235.94 | Professional | None | $354.81 | $1,479.11 | $3,235.94 |
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 $234.42 Median $316.23 Typical High $426.58 | Professional | None | $234.42 | $316.23 | $426.58 |
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 $112.20 Median $165.96 Typical High $295.12 | Professional | 52 · Reduced service | $112.20 | $165.96 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $67.61 Typical High $117.49 | Professional | 53 · Discontinued | $44.67 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $251.19 Typical High $436.52 | Professional | 54 · Surgery only | $165.96 | $251.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $50.12 Typical High $87.10 | Professional | 55 · Aftercare only | $33.11 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $33.11 Typical High $58.88 | Professional | 56 · Pre-op care only | $22.39 | $33.11 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $234.42 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $154.88 | $234.42 | $407.38 |
Where Kansas sits
The same service costs 4.2 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· 13th of 51
$389
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.