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 $691.83 Median $954.99 Typical High $1,230.27 | Professional | None | $691.83 | $954.99 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,230.27 | $1,230.27 |
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 $741.31 Median $1,412.54 Typical High $1,548.82 | Facility | None | $741.31 | $1,412.54 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $954.99 | Professional | None | $630.96 | $912.01 | $954.99 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $26,302.68 | Facility | None | $398.11 | $1,000.00 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $5,495.41 | Professional | None | $537.03 | $831.76 | $5,495.41 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $870.96 | Professional | None | $512.86 | $758.58 | $870.96 |
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 $346.74 Median $478.63 Typical High $616.60 | Professional | 52 · Reduced service | $346.74 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $138.04 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $524.81 | $724.44 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $104.71 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $69.18 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $676.08 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $489.78 | $676.08 | $851.14 |
Where Kansas sits
The same service costs 7.6 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· 17th of 51
$977
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.