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 $416.87 Median $691.83 Typical High $933.25 | Professional | None | $416.87 | $691.83 | $933.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,096.48 | $1,148.15 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,023.29 | Professional | None | $691.83 | $691.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $2,041.74 | Facility | None | $645.65 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,148.15 | Professional | None | $501.19 | $707.95 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $26,302.68 | Facility | None | $691.83 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,318.26 Typical High $4,897.79 | Professional | None | $602.56 | $1,318.26 | $4,897.79 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,000.00 | Professional | None | $489.78 | $645.65 | $1,000.00 |
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 $208.93 Median $346.74 Typical High $467.74 | Professional | 52 · Reduced service | $208.93 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $83.18 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $512.86 Typical High $707.95 | Professional | 54 · Surgery only | $316.23 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $102.33 Typical High $141.25 | Professional | 55 · Aftercare only | $63.10 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $69.18 Typical High $93.33 | Professional | 56 · Pre-op care only | $41.69 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $478.63 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $295.12 | $478.63 | $660.69 |
Where Kansas sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 11th of 51
$1,023
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.