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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,258.93 | Professional | None | $724.44 | $977.24 | $1,258.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,412.54 | $1,412.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,290.87 Typical High $2,398.83 | Facility | None | $794.33 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $977.24 | Professional | None | $645.65 | $933.25 | $977.24 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,398.83 Typical High $26,302.68 | Facility | None | $741.31 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $4,786.30 | Professional | None | $630.96 | $851.14 | $4,786.30 |
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 $602.56 Median $776.25 Typical High $912.01 | Professional | None | $602.56 | $776.25 | $912.01 |
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 $363.08 Median $489.78 Typical High $630.96 | Professional | 52 · Reduced service | $363.08 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $199.53 Typical High $251.19 | Professional | 53 · Discontinued | $144.54 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $741.31 Typical High $954.99 | Professional | 54 · Surgery only | $537.03 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $147.91 Typical High $190.55 | Professional | 55 · Aftercare only | $107.15 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $97.72 Typical High $125.89 | Professional | 56 · Pre-op care only | $72.44 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $691.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $501.19 | $691.83 | $891.25 |
Where Kansas sits
The same service costs 8.5 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· 10th of 51
$1,259
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.