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 $660.69 Median $3,630.78 Typical High $7,943.28 | Facility | None | $660.69 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $446.68 | Professional | None | $165.96 | $257.04 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | None | $213.80 | $213.80 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $389.05 | Facility | None | $208.93 | $223.87 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $338.84 | Professional | None | $147.91 | $229.09 | $338.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,890.45 | Facility | None | $54.95 | $1,000.00 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $1,096.48 Typical High $2,344.23 | Professional | None | $251.19 | $1,096.48 | $2,344.23 |
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 $151.36 Median $229.09 Typical High $309.03 | Professional | None | $151.36 | $229.09 | $309.03 |
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 $83.18 Median $128.82 Typical High $223.87 | Professional | 52 · Reduced service | $83.18 | $128.82 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $51.29 Typical High $91.20 | Professional | 53 · Discontinued | $33.11 | $51.29 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $194.98 Typical High $338.84 | Professional | 54 · Surgery only | $123.03 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $38.90 Typical High $67.61 | Professional | 55 · Aftercare only | $25.12 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $25.70 Typical High $44.67 | Professional | 56 · Pre-op care only | $16.60 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $181.97 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $114.82 | $181.97 | $316.23 |
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
$288
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.