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 $93.33 Median $4,677.35 Typical High $9,549.93 | Facility | None | $93.33 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $97.72 Typical High $154.88 | Professional | None | $44.67 | $97.72 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $251.19 | Facility | None | $234.42 | $251.19 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $158.49 | Professional | None | $58.88 | $109.65 | $158.49 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $870.96 | Professional | None | $100.00 | $123.03 | $870.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $144.54 | Professional | None | $54.95 | $102.33 | $144.54 |
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 $22.39 Median $35.48 Typical High $77.62 | Professional | 52 · Reduced service | $22.39 | $35.48 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $14.13 Typical High $30.90 | Professional | 53 · Discontinued | $8.91 | $14.13 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $53.70 Typical High $117.49 | Professional | 54 · Surgery only | $33.88 | $53.70 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.72 Typical High $23.44 | Professional | 55 · Aftercare only | $6.76 | $10.72 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $7.08 Typical High $15.49 | Professional | 56 · Pre-op care only | $4.47 | $7.08 | $15.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $31.62 Median $50.12 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $31.62 | $50.12 | $109.65 |
Where Kansas sits
The same service costs 3.2 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· 13th of 51
$126
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.