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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $954.99 | Professional | None | $588.84 | $812.83 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $2,238.72 | Facility | None | $602.56 | $977.24 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,412.54 | Professional | None | $645.65 | $954.99 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,174.90 Typical High $26,302.68 | Facility | None | $549.54 | $1,174.90 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $5,011.87 | Professional | None | $724.44 | $831.76 | $5,011.87 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,258.93 | Professional | None | $691.83 | $794.33 | $1,258.93 |
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 $295.12 Median $407.38 Typical High $478.63 | Professional | 52 · Reduced service | $295.12 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $162.18 Typical High $190.55 | Professional | 53 · Discontinued | $117.49 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $616.60 Typical High $724.44 | Professional | 54 · Surgery only | $436.52 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $87.10 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $81.28 Typical High $95.50 | Professional | 56 · Pre-op care only | $58.88 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $575.44 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $407.38 | $575.44 | $676.08 |
Where Kansas sits
The same service costs 5.9 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· 18th of 51
$955
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.